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Medical Billing & Coding for Dummies (For Dummies)

by

Medical Billing & Coding for Dummies (For Dummies) Cover

 

Synopses & Reviews

Publisher Comments:

The easy way to start a career in medical billing and coding

Medical Billing & Coding For Dummies gives you practical, easy-to-follow information and advice on what to expect in a billing and coding career, ways to find a training program, your certification options, ways to stay competitive in the field, and the laws and other regulations you'll encounter in your work. If you're looking to start a career in the popular field of medical billing and coding, this hands-on, friendly guide has you covered!

  • To bill or to code — find out what differentiates a medical coder from a medical biller and understand how the two function together working for doctors, hospitals, or insurance companies

  • The road to success — discover the most vital tidbits you need to know to succeed, from compliance and medical terminology to medical necessity and the payers of the game

  • Get certified — find a training program that prepares you for the certification exam and your career, and boost your credentials with some specialty certifications and continuing ed programs

  • Land the job — delve into the nitty-gritty details of the life of a medical biller/coder, from the claim filing process to resolving disputes and appealing claims that get denied

Open the book and find:

  • Advice on the type of job that's right for you

  • Plain-English explanations of medical jargon

  • The lowdown on the entire claims process

  • What to expect on the certification exams

  • Guidance on signing up and prepping for the exam

  • How you can prepare for the transition to ICD-10

  • Specialty certifications and professional organizations worth knowing

Learn to:

  • Find a training program that's right for you

  • Start your career in medical billing and coding

  • Stay competitive in the field

Synopsis:

The easy way to start a career in medical billing and coding

With healthcare providers moving to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical offices need professionally trained billers and coders, either in the office or via telecommute, to handle records for internal and external accessibility and efficiency.

Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding. It gives you practical, easy-to-follow coverage and advice on how to find a course, educational topics you should review and pursue in order to stay competitive in the field, and the laws and other regulations you'll encounter in your work.

  • Certification requirements and standard industry practices
  • Tips for dealing with government agencies and insurance companies
  • Ethical and legal issues

If you're looking to start a career in the popular field of medical billing and coding, this hands-on, friendly guide has you covered!

About the Author

Karen Smiley is a certified, multi-specialty coding expert in physician and outpatient reimbursement with an extensive background in commercial, Medicare, and Medicaid claims processing. She is currently a professional coder at an ambulatory surgery center that specializes in orthopedic coding.

Table of Contents

Introduction 1

Part I: Getting to Know Medical Billing and Coding 7

Chapter 1: Dipping Your Toes in Medical Billing and Coding 9

Chapter 2: Exploring the Billing and Coding Professions 19

Chapter 3: Weighing Your Employment Options 31

Part II: Boning Up on the Need-to-Knows of Your Profession 41

Chapter 4: Compliance: Understanding the Rules 43

Chapter 5: Not-So-Strange Bedfellows: Medical Terminology and Medical Necessity 57

Chapter 6: Getting to Know the Payers 79

Part III: Keys to Becoming a Professional: Getting Certified 95

Chapter 7: Your Basic Certifi cation Options, Courtesy of the AAPC and AHIMA 97

Chapter 8: The Path to Certifi cation: Finding a Study Program 111

Chapter 9: Signing Up and Preparing for the Certifi cation Exam 129

Chapter 10: Adding Street Cred: Specialty Certifi cations and Continuing Ed 147

Part IV: Dealing with the Nitty-Gritty On-the-Job Details 159

Chapter 11: Processing a Run-of-the-Mill Claim: An Overview161

Chapter 12: Honing In on How to Prepare an Error-free Claim 177

Chapter 13: From Clearinghouse to Accounts Receivable to Money in the Pocket 193

Chapter 14: Handling Disputes and Appeals 203

Chapter 15: Keeping Up with the Rest of the World223

Part V: Working with Stakeholders 235

Chapter 16: Dealing with Commercial Insurance Claims 237

Chapter 17: Caring about Medicare 249

Chapter 18: Client Relations and Coding Ethics: Being an Advocate for Your Employer 261

Part VI: The Part of Tens 277

Chapter 19: Ten Common Billing and Coding Mistakes and How to Avoid Them 279

Chapter 20: Ten Acronyms to Burn into Your Brain 283

Chapter 21: Ten Tips from Billing and Coding Pros 287

Glossary 293

Index 303

Product Details

ISBN:
9781118021729
Author:
Smiley, Karen
Publisher:
For Dummies
Subject:
Administration
Subject:
Medical writing
Subject:
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Subject:
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Copyright:
Edition Description:
WebSite Associated w/Book
Publication Date:
20120703
Binding:
TRADE PAPER
Language:
English
Pages:
336
Dimensions:
236.2 x 188 x 17.8 mm 17.6 oz

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Medical Billing & Coding for Dummies (For Dummies) New Trade Paper
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"Synopsis" by , The easy way to start a career in medical billing and coding

With healthcare providers moving to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical offices need professionally trained billers and coders, either in the office or via telecommute, to handle records for internal and external accessibility and efficiency.

Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding. It gives you practical, easy-to-follow coverage and advice on how to find a course, educational topics you should review and pursue in order to stay competitive in the field, and the laws and other regulations you'll encounter in your work.

  • Certification requirements and standard industry practices
  • Tips for dealing with government agencies and insurance companies
  • Ethical and legal issues

If you're looking to start a career in the popular field of medical billing and coding, this hands-on, friendly guide has you covered!

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