Description: Learn the basics of physican-based medical billing with MEDICAL BILLING 101, 2E. Clear and practical guidelines introduce you to the job responsibilities and basic processes in the medical billing world. Case studies and software tools like SimClaim™ CMS-1500 software offer you practice on actual forms to build confidence and understanding of the reimbursement process. This easy-to-use guide starts you off on the right path as you begin your journey to becoming a medical billing professional. Product Benefits: - NEW to this Edition Faculty Features:
- SimClaim™ CMS-1500 form software now completely online with 20 case studies for extra practice.
- MindTap course available.
- User-friendly text clearly outlines objectives and highlights key information.
- Real medical forms such as EOBs, Superbills, and Denied Claims provide hands-on, real-world context that's essential to mastery of medical billing.
- Detailed instructions about the revenue cycle and how to complete claim forms make it easy to think like a professional.
- Critical thinking is enhanced with case studies geared to various billing situation, including physician office visits and inpatient physician services.
- Application of concepts by working with denied claims and denials that require appeals and review of incorrect claim forms to detect errors.
Table of Contents: 1.Your Job as a Physician-Based Medical Biller.
2. Health Insurance and the Identification Card.
3. The Codes (CPT, HCPCS Level II, ICD-9, ICD-10 and Modifiers).
4. The Forms (Patient Registration, Superbill, Hospital Sheet).
5. The 'Heart' of Medical Billing: the CMS-1500 Form.
6. Billing for Office Services and Procedures.
7. Billing for Inpatient and Nursing Facility Services.
8. Electronic Claims Submission and Clearinghouses.
9. EOBs and Payments.
10. Denials and Appeals.
11.Maintaining Accounts Receivable, Aging Reports, and Rebilling.
12.Collections and the State Insurance Commissioner.
Appendix I: SimClaim Case Studies for the CMS-1500 Form.
Appendix II: Forms. |
