Description: Is a comprehensive learning tool for processing insurance claim forms for inpatient and outpatient services for acute, subacute, long-term care, specialty and clinic facilities using the Uniform Bill 92 or UP-92 (HCFA-1450 form). Product Benefits: - Key processing edits are introduced in appropriate places so reader can learn how to identify potential errors before they complete a claim
- Many template examples are included for quick reference
- Content is not combined with medical billing information so the reader has a truly dedicated resource
Table of Contents: Section 1: The UB-92: Working With Form Locators
Chapter 1-Introduction to the UB-92: Form Locators 1-31
Chapter2-UB-92: Form Locators 32-41
Chapter 3-UB-92; Form Locators 42-49
Chapter 4-UB-92; Form Locators 50-86
Section 2: The Acute Care Facility
Chapter 5-Services Rendered in the Hospital Setting; Inpatient Services, Ambulatory Surgery Center, Clinical Services, Outpatient Services
Chapter 6- The Internal Network of a Hospital, Pre-admission Functions, Admitting, Patient Accounts, Social Services, Health Information, Utilization Management and Quality Management, Computer Systems
Chapter 7- Exploring Covered Services and Rates, Medicare and Medicare Secondary Payer (MSP) Regulations, Medicaid Program Administration, Workers'' Compensation, Liability, and Auto Accident Cases, Group Health Insurance, Managed Care, and HMO plans
Chapter 8- Coding and Reimbursement Systems, HCPCS Coding System, ICD-9-CM, Reimbursement Systems
Appendices |
