Guide to Medical Billing, 3rd Edition

This unique textbook/workbook brings together all the theory and practical skills students need to succeed as medical billers. After introducing students to the medical practice, GUIDE TO MEDICAL BILLING, 3/e presents in-depth coverage of every common medical billing procedure and practice used in both medical offices and hospitals. This edition includes extensive new coverage of transitioning to ICD-10-CM from ICD-CM in medical offices, and using the newer UB-04 form in hospitals. Coverage also includes: Current Procedural Terminology (CPT®) coding, stress and time management, CMS-1500 forms and medical procedures, hospital procedures, basic office functions and communications, and much more. To enhance understanding and retention, the text uses proven pedagogical features, including learning objectives, key terms and definitions, critical thinking questions, in-text chapter activities simulating professional practice, and additional end-of-chapter exercises.

1. Introduction to Medical Billing

2. Legal and Ethical Issues of Medical Billing

3. Clinical Records and Medical Documentation

4. Health Insurance Programs

5. Medicare and Medicaid

6. Workers’ Compensation

7. Managed Care

8. Medical Practice Accounting

9. Reference books

10. International Classification of Disease (ICD-9-CM) Coding

11. Transitioning from ICD-9-CM to ICD-10-CM/PCS

12. Coding with ICD-10-CM/PCS

13. Current Procedural Terminology (CPT®) Coding

14. The CMS-1500 Form and Medical Billing Procedures

15. The UB-04 Form and Hospital Billing Procedures

Appendix A. Glossary

Appendix B. Tables and Forms

Index