New to this edition
- Updated Claim Forms chapter covers the UB-04 claim form.
- Updated information covers diagnosis and procedural coding, with guidelines and applications.
- Updated claim forms and names are used throughout.
Author Information
By Debra P. Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS
Section 1: Hospital Overview
1. Hospital Introduction
2. Hospital Regulatory Environment
3. HIPAA
Section 2: Hospital Billing and Coding Process
4. Patient Accounts Data Flow
5. Hospital Billing Process
Section 3: Coding
6. ICD-9-CM Diagnosis and Procedure Coding
7. ICD-10-CM Diagnosis Coding
8. Procedure Coding (HCPCS and ICD-10-PCS)
9. Coding Guidelines and Applications (HCPCS and ICD-10-CM/PCS)
Section 4: Claim Forms
10. Claim Forms
Section 5: Health Care Payers and Reimbursement
11. Payers
12. Prospective Payment Systems
13. Accounts Receivable Management
Section 6: Appendixes
A: Cases
B: Claim Form Data
C: Web Resources
