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Overview

UNIFORM BILLING: A GUIDE TO CLAIMS PROCESSING, 2e is the essential resource for learning in-patient and out-patient processing techniques. Whether used in an acute, subacute, long term care, specialty, or clinic facility, this learning tool shows readers how to use UB-04 in any scenario. Its exercise-based format emphasizes practical application to help readers efficiently absorb the material. Plus, the included access code for the SimClaim software allows students to practice completing claim forms electronically.

Christina D. Rizzo,

Christina Rizzo is the Director of Reimbursement at Natchaug Hospital, CT. She is also the owner and Director of Operations for her own billing consulting firm. She has over 20 years of experience in health care insurance and billing.

Judith Fields, Southeast Kentucky Community & Technical College

Judith Fields, CCS, CCSP, CPCH, CPC accomplished teaching educator, Southeast Kentucky Community & Technical College, Harlan, Kentucky has been an adjunct college educator since 2005. She has taught keyboarding, medical terminology, medical billing, and medical coding classes. Her focus currently is medical coding classes for ICD-9-CM and HCPCS. She is a member of the Adjunct Faculty Council and Office System Technology Advisory Council at the college/SKCTCS. She is employed full-time for a large nationally recognized hospital performing medical coding and is a member of the AHIMA and AAPC national professional healthcare organizations. She has 21 years of experience in various healthcare roles as a HIM medical coding supervisor, Coding Consultant, Medical Coding and Billing for physician and hospital based, and Medical Assisting. Judith loves her career and enjoys teaching her students and seeing them excel in this healthcare career.
  • All codes have been updated to the latest version of 2012 for ICD-9-CM and 2011 for HCPCS.
  • New case studies provide an opportunity for the learner to apply their knowledgeSimClaim CMS-1500 practice software has targeted block help with video, and the option to print completed forms to PDF for easy emailing.
  • Key processing edits point out potential errors before completing a claim.
  • Multiple template examples included for quick reference.
  • Unique content solely focuses on medical billing information.
Section I: The Acute Care Facility.
1. Services Rendered in the Hospital Setting.
2. The Internal Network of a Hospital.
Section II: Working with Form Locators.
3. Introduction to the UB-04: Form Locators 1-31.
4. UB-04: Form Locators 31-41.
5. UB-04: Form Locators 42-49.
6. UB-04: Form Locators 49-80.
7. Exploring Covered Services and Rates.
8. Coding and Reimbursement Systems.
9. Fraud, Abuse, HIPAA, and Patient's Rights.
Appendices.

Textbook Only Options

Traditional eBook and Print Options

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  • ISBN-10: 1285503368
  • ISBN-13: 9781285503363
  • STARTING AT $18.99

  • ISBN-10: 1435493184
  • ISBN-13: 9781435493186
  • Bookstore Wholesale Price $153.75
  • RETAIL $204.95

Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.

FOR INSTRUCTORS

Instructor's Manual

ISBN: 9781435493179
The instructor's Manual serves as an instructional resource and provides teaching tips or guidelines, essay questions, answers to review and test questions, key objectives, glossary, appendices and exercises for content reinforcement.

FOR STUDENTS

Premium Web Site Instant Access Code

ISBN: 9781133604006