Hospital Billing

Paperback | February 6, 2008

bySusan Magovern, Jean Jurek

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Hospital Billing, Second Edition provides current content with a practical approach. The content addresses the real world of the hospital billing department, integrating the computer skills and procedures needed for daily work. The material also addresses the types of critical thinking, analysis, and synthesis skills demanded by today’s employers. The text includes instruction that entry-level hospital billers must understand, including the following: the hospital billing flow; basic coding and payment systems; the data elements required to complete the recently mandated new UB-04 form; the way in which form-completion requirements vary depending on the type of facility; the medical insurance plan, and inpatient/outpatient status; job performance in compliance with HIPAA privacy and best practices regulations; and how computerized systems are used for form completion

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From the Publisher

Hospital Billing, Second Edition provides current content with a practical approach. The content addresses the real world of the hospital billing department, integrating the computer skills and procedures needed for daily work. The material also addresses the types of critical thinking, analysis, and synthesis skills demanded by today’...

Format:PaperbackDimensions:448 pages, 10.8 × 8.5 × 0.6 inPublished:February 6, 2008Publisher:McGraw-Hill EducationLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0073520896

ISBN - 13:9780073520896

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Table of Contents

PART 1: THE HOSPITAL BILLING ENVIRONMENT

Chapter 1: Introduction to Hospital Billing

Chapter 2: The Hospital Billing Process

Chapter 3: Hospital Insurance

Chapter 4: Medical Coding Basics

Chapter 5: Payment Methods and Billing Compliance

PART 2: THE UB-04 CLAIM FORM

Chapter 6: Overview of the UB-04 Claim Form

Chapter 7: Provider Information

Chapter 8: Patient Information

Chapter 9: Condition Codes

Chapter 10: Occurrence Codes/Dates

Chapter 11: Value Codes and Amounts

Chapter 12: Revenue Codes, Descriptions, and Amounts

Chapter 13: Payer, Insured, and Employer Information

Chapter 14: Diagnosis and Procedure Codes

Chapter 15: Physician Information, Remarks, and Code-Code Field

PART 3: SIMULATION

Chapter 16: The UB-04 Form Filler

Chapter 17: Case Studies

Appendix A: UB-04 Form Completion Tables

A-1: UB-04 Form Locators

A-2: Type of Bill Codes

A-3: Occurrence Codes and Dates

A-4: Value Codes

A-5: Revenue Codes: Numerical Order

A-6: Revenue Codes: Alphabetic Order

Appendix B: Comparing the Old and New Claim Forms

B-1: A Comparison of the UB-92 and the UB-04

Abbreviations

Glossary

Index

Appendix C: Blank UB-04 Forms