Your complete guide to a career in medical billing and coding, updated with the latest changes in the ICD-10 and PPS
This fully updated second edition of Medical Billing & Coding For Dummies provides readers with a complete overview of what to expect and how to succeed in a career in medical billing and coding. With healthcare providers moving more rapidly to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding.
This updated resource includes details on the most current industry changes in ICD-10 (10th revision of the International Statistical Classification of Diseases and Related Health Problems) and PPS (Prospective Payment Systems), expanded coverage on the differences between EHRs and MHRs, the latest certification requirements and standard industry practices, and updated tips and advice for dealing with government agencies and insurance companies.
Prepare for a successful career in medical billing and coding
Get the latest updates on changes in the ICD-10 and PPS
Understand how the industry is changing and learn how to stay ahead of the curve
Learn about flexible employment options in this rapidly growing industry
Medical Billing & Coding For Dummies, 2nd Edition provides aspiring professionals with detailed information and advice on what to expect in a billing and coding career, ways to find a training program, certification options, and ways to stay competitive in the field.
Karen Smiley, CPC, is a certified multi-specialty coding expert in physician and outpatient reimbursement. She is a professional coder at an ambulatory surgery center, and her extensive background includes commercial, Medicare, and Medicaid claims processing.
Introduction 1 Part I: Getting to Know Medical Billing and Coding 5 Chapter 1: Dipping Your Toes into Medical Billing and Coding 7 Chapter 2: Exploring the Billing and Coding Professions 17 Chapter 3: Weighing Your Employment Options 31 Part II: Boning Up on the Need ]to ]Knows of Your Profession 43 Chapter 4: Compliance: Understanding the Rules 45 Chapter 5: Not ]So ]Strange Bedfellows: Medical Terminology and Medical Necessity 61 Chapter 6: Getting to Know the Payers 85 Part III: Becoming a Professional: Getting Certified 101 Chapter 7: Your Basic Certification Options, Courtesy of the AAPC and AHIMA 103 Chapter 8: The Path to Certification: Finding a Study Program 117 Chapter 9: Signing Up and Preparing for the Certification Exam 137 Chapter 10: Adding Street Cred: Specialty Certifications and Continuing Ed 155 Part IV: Dealing and Succeeding with Nitty ]Gritty On ]the ]Job Details 167 Chapter 11: Processing a Run ]of ]the ]Mill Claim: An Overview 169 Chapter 12: Homing In on How to Prepare an Error ]free Claim 187 Chapter 13: From Clearinghouse to Accounts Receivable to Money in the Pocket 203 Chapter 14: Handling Disputes and Appeals 215 Chapter 15: Keeping Up with the Rest of the World 235 Part V: Working with Stakeholders 247 Chapter 16: Dealing with Commercial Insurance Claims 249 Chapter 17: Caring about Medicare 261 Chapter 18: Client Relations and Coding Ethics: Being an Advocate for Your Employer 275 Part VI: The Part of Tens 291 Chapter 19: Ten Common Billing and Coding Mistakes and How to Avoid Them 293 Chapter 20: Ten Acronyms to Burn into Your Brain 299 Chapter 21: Ten (Plus One) Tips from Billing and Coding Pros 303 Glossary 309 Index 319