Table Of ContentIntroduction Unit 1. Medical Coding Basics 1. A Career in Medical Coding 2. The Legal Aspect of Coding and Billing 3. HIPAA: The Health Insurance Portability and Accountability Act Unit 2. Coding Systems 4. Diagnostic Coding 5. Procedural Coding: Introduction to CPT and Evaluation and Management 6. Procedural Coding: Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine Unit 3. Insurance 7. General Commercial Health Insurance Information 8. Medicare 9. Medicaid 10. Managed Care Plans 11. TRICARE/CHAMPVA 12. Worker's Compensation 13. Insurance Payments and Follow-up Procedures Glossary of Key Terms Appendices 1. Sample Practice Information and Insurance Forms 2. Common Abbreviations Index
SynopsisPlease note: The CD packaged with this product is no longer compatible with most current operating systems. Today's fast-paced and constantly changing health-care environment demands that you find the answers you need quickly and easily. This brand-new approach to billing and coding teaches you the who, what, why, when, and how of proper diagnostic and procedural coding, claim form completion, and medical recordkeeping. A reader-friendly, easy-to-grasp writing style and unique, troubleshooting Coder Plus CD-ROM make coding clear and simple to master., Today's fast-paced and constantly changing health-care environment demands that you find the answers you need quickly and easily. This brand-new approach to billing and coding teaches you the who, what, why, when, and how of proper diagnostic and procedural coding, claim form completion, and medical recordkeeping., Introduces insurance terminology and acronyms - diagnostic coding - procedural coding - managed care - payment posting - legal issues - and more Encompasses the real-world payors you'll encounter in practice, including commercial insurance - Medicare - Medicaid - Managed Care - CHAMPVA/TRICARE - Workers' Compensation - and more Explains the importance of HIPAA regulations and their applications. Supplies the new rules and regulations found in the most current CPT, local carrier, and ICD manuals. ICD-10 Notes throughout provide insight into upcoming government changes. Builds must-have skills with practice exercises in each chapter. Offers a glossary of terms with definitions. Coder Plus CD-ROM Troubleshoot 10 cases step by step w/ the Coder Plus CD-ROM: 2 Medicaid 2 Medicare 2 Private/Commercial 2 HMO Insurance 1 Workers' Compensation 1 TRICARE/CHAMPVA Offers real-world practice through case studies of actual denied claims. Each case includes CMS data-entry screens - registration form - insurance form - insurance card - patient-encounter form - and medical record. E-mail and printable forms feature scoring and zoom in-and-out capabilities.