Medical Billing and Coding For Dummies

( 4 )

Overview

Your complete guide to a career in medical billing and coding, updated with the latest changes in the ICD-10 and PPS

This fully updated second edition of Medical Billing & Coding For Dummies provides readers with a complete overview of what to expect and how to succeed in a career in medical billing and coding. With healthcare providers moving more rapidly to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical Billing ...

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Overview

Your complete guide to a career in medical billing and coding, updated with the latest changes in the ICD-10 and PPS

This fully updated second edition of Medical Billing & Coding For Dummies provides readers with a complete overview of what to expect and how to succeed in a career in medical billing and coding. With healthcare providers moving more rapidly to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding.

This updated resource includes details on the most current industry changes in ICD-10 (10th revision of the International Statistical Classification of Diseases and Related Health Problems) and PPS (Prospective Payment Systems), expanded coverage on the differences between EHRs and MHRs, the latest certification requirements and standard industry practices, and updated tips and advice for dealing with government agencies and insurance companies.

  • Prepare for a successful career in medical billing and coding
  • Get the latest updates on changes in the ICD-10 and PPS
  • Understand how the industry is changing and learn how to stay ahead of the curve
  • Learn about flexible employment options in this rapidly growing industry

Medical Billing & Coding For Dummies, 2nd Edition provides aspiring professionals with detailed information and advice on what to expect in a billing and coding career, ways to find a training program, certification options, and ways to stay competitive in the field.

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Product Details

  • ISBN-13: 9781118982549
  • Publisher: Wiley
  • Publication date: 4/27/2015
  • Series: For Dummies Series
  • Edition number: 2
  • Pages: 360
  • Sales rank: 151,419
  • Product dimensions: 7.30 (w) x 9.20 (h) x 0.60 (d)

Meet the Author

Karen Smiley, CPC, is a certified multi-specialty coding expert in physician and outpatient reimbursement. She is a professional coder at an ambulatory surgery center, and her extensive background includes commercial, Medicare, and Medicaid claims processing.

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Table of Contents

Introduction 1

Part I: Getting to Know Medical Billing and Coding 7

Chapter 1: Dipping Your Toes in Medical Billing and Coding 9

Chapter 2: Exploring the Billing and Coding Professions 19

Chapter 3: Weighing Your Employment Options 31

Part II: Boning Up on the Need-to-Knows of Your Profession 41

Chapter 4: Compliance: Understanding the Rules 43

Chapter 5: Not-So-Strange Bedfellows: Medical Terminology and Medical Necessity 57

Chapter 6: Getting to Know the Payers 79

Part III: Keys to Becoming a Professional: Getting Certified 95

Chapter 7: Your Basic Certifi cation Options, Courtesy of the AAPC and AHIMA 97

Chapter 8: The Path to Certifi cation: Finding a Study Program 111

Chapter 9: Signing Up and Preparing for the Certifi cation Exam 129

Chapter 10: Adding Street Cred: Specialty Certifi cations and Continuing Ed 147

Part IV: Dealing with the Nitty-Gritty On-the-Job Details 159

Chapter 11: Processing a Run-of-the-Mill Claim: An Overview161

Chapter 12: Honing In on How to Prepare an Error-free Claim 177

Chapter 13: From Clearinghouse to Accounts Receivable to Money in the Pocket 193

Chapter 14: Handling Disputes and Appeals 203

Chapter 15: Keeping Up with the Rest of the World223

Part V: Working with Stakeholders 235

Chapter 16: Dealing with Commercial Insurance Claims 237

Chapter 17: Caring about Medicare 249

Chapter 18: Client Relations and Coding Ethics: Being an Advocate for Your Employer 261

Part VI: The Part of Tens 277

Chapter 19: Ten Common Billing and Coding Mistakes and How to Avoid Them 279

Chapter 20: Ten Acronyms to Burn into Your Brain 283

Chapter 21: Ten Tips from Billing and Coding Pros 287

Glossary 293

Index 303

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Customer Reviews

Average Rating 4.5
( 4 )
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Sort by: Showing all of 4 Customer Reviews
  • Posted July 21, 2012

    This book has become our office handbook. It is an excellent re

    This book has become our office handbook. It is an excellent resource for any medical office.

    9 out of 9 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted December 10, 2013

    definitely recommend if you are new to the medical billing & coding field.

    A very simplistic approach and explaination on this career field. Helped me understand what I am to expect before I consider this field of study and perhaps working in it.

    5 out of 5 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted May 31, 2013

    I would recommend this book to anyone interested in exploring medical coding.

    The book is very easy to read, the topic is well covered.

    5 out of 5 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted February 21, 2013

    No text was provided for this review.

Sort by: Showing all of 4 Customer Reviews

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