The Physician Billing Process

The Physician Billing Process

Author: Deborah L. Walker

Publisher: Medical Group Management Assn

Published: 2004

Total Pages: 274

ISBN-13: 9781568292304

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Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance.


Book Synopsis The Physician Billing Process by : Deborah L. Walker

Download or read book The Physician Billing Process written by Deborah L. Walker and published by Medical Group Management Assn. This book was released on 2004 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance.

The Physician Billing Process

The Physician Billing Process

Author: Deborah Walker Keegan

Publisher: Mgma

Published: 2009-02

Total Pages: 428

ISBN-13: 9781568293394

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Full of new, innovative tools, techniques, policies and procedures, and advanced practices that allow you to diagnose and treat your revenue cycle and ensure a financially healthy bottom line. The depth and magnitude of change in health care reimbursement means that your medical practice cannot rely on the same old billing methods. Anything less than optimal performance from your billing office reduces cash flow and costs you money. The authors present cutting edge strategies to meet today s reimbursement challenges and improve the profitability of your medical practice. The authors lay out real life business practices that can be adopted tomorrow in your medical practice, including how to: Decipher consumer-directed health plans; Conduct patient financial clearance; Segment patients in terms of financial risk; Staff to effectively conduct front-end and back-end billing; Capture increased revenue at the point of care; Understand real-time claims adjudication; Shrink your collections cycle; Position your practice for pay-for-performance; Work and prevent costly claim denials and rework; Code appropriately to ensure your fair share of differential payer reimbursement; Leverage multiple technologies; and Perform a cost/benefit analysis of your revenue cycle.


Book Synopsis The Physician Billing Process by : Deborah Walker Keegan

Download or read book The Physician Billing Process written by Deborah Walker Keegan and published by Mgma. This book was released on 2009-02 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Full of new, innovative tools, techniques, policies and procedures, and advanced practices that allow you to diagnose and treat your revenue cycle and ensure a financially healthy bottom line. The depth and magnitude of change in health care reimbursement means that your medical practice cannot rely on the same old billing methods. Anything less than optimal performance from your billing office reduces cash flow and costs you money. The authors present cutting edge strategies to meet today s reimbursement challenges and improve the profitability of your medical practice. The authors lay out real life business practices that can be adopted tomorrow in your medical practice, including how to: Decipher consumer-directed health plans; Conduct patient financial clearance; Segment patients in terms of financial risk; Staff to effectively conduct front-end and back-end billing; Capture increased revenue at the point of care; Understand real-time claims adjudication; Shrink your collections cycle; Position your practice for pay-for-performance; Work and prevent costly claim denials and rework; Code appropriately to ensure your fair share of differential payer reimbursement; Leverage multiple technologies; and Perform a cost/benefit analysis of your revenue cycle.

The Physician Billing Process

The Physician Billing Process

Author: Deborah Walker Keegan

Publisher: Medical Group Management Association/Center for Research in Ambulatory Health Care Administration

Published: 2016

Total Pages: 421

ISBN-13: 9781568294940

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This third edition of the MGMA bestseller on physician billing process and revenue cycle management is a completely revised, comprehensive manual. Delivering proven solutions to optimize your revenue cycle, this professional fee billing primer is business-critical whether you're new to managing the revenue cycle or a seasoned professional.


Book Synopsis The Physician Billing Process by : Deborah Walker Keegan

Download or read book The Physician Billing Process written by Deborah Walker Keegan and published by Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2016 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition of the MGMA bestseller on physician billing process and revenue cycle management is a completely revised, comprehensive manual. Delivering proven solutions to optimize your revenue cycle, this professional fee billing primer is business-critical whether you're new to managing the revenue cycle or a seasoned professional.

The Basics of Medical Billing

The Basics of Medical Billing

Author: Alice Scott

Publisher:

Published: 2008

Total Pages: 0

ISBN-13: 9781434890528

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Revised in 2016! This no nonsense book tells you all you need to know to understand medical billing. Written by a mother/daughter team who have been running a medical billing service since 1994 it contains the facts without the fluff. Revised in June 2010 to almost double the content. It contains information about primary, secondary and tertiary claims, participation with insurance carriers, indemnity, hmos, ppos, eops, Medicare, Medicaid, Medicare hmos, workers comp, no fault, NPI numbers, copays, coinsurance, deductibles, patient billing, fraud, HIPAA, audits, overpayments and much more. A must read for every member of the staff in the doctor's office. Whether you need to improve office efficiency, improve the cash flow, or just understand the medical billing process better, this book is for you.


Book Synopsis The Basics of Medical Billing by : Alice Scott

Download or read book The Basics of Medical Billing written by Alice Scott and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revised in 2016! This no nonsense book tells you all you need to know to understand medical billing. Written by a mother/daughter team who have been running a medical billing service since 1994 it contains the facts without the fluff. Revised in June 2010 to almost double the content. It contains information about primary, secondary and tertiary claims, participation with insurance carriers, indemnity, hmos, ppos, eops, Medicare, Medicaid, Medicare hmos, workers comp, no fault, NPI numbers, copays, coinsurance, deductibles, patient billing, fraud, HIPAA, audits, overpayments and much more. A must read for every member of the staff in the doctor's office. Whether you need to improve office efficiency, improve the cash flow, or just understand the medical billing process better, this book is for you.

FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA

FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA

Author: Cynthia Newby

Publisher: McGraw-Hill Science/Engineering/Math

Published: 2009-02-04

Total Pages: 352

ISBN-13: 9780073402017

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From Patient to Payment: Insurance Procedures for the Medical Office, provides a practical, focused overview of medical insurance and billing. Each chapter is structured to give students a hands-on, practical approach to understanding and working with claims, both paper and electronic, and the medical billing process. This text is precisely tailored for a brief introduction, as the fundamental understanding of coding and claim filing principles is the goal. Incorporated are the latest HIPAA forms and regulations, medical coding, and electronic claims in a clear and focused program. It equips students with the basics of preparing correct health care claims, and provides a brief introduction to Medisoft Patient Billing software V14 , which can be used to complete claims.


Book Synopsis FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA by : Cynthia Newby

Download or read book FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA written by Cynthia Newby and published by McGraw-Hill Science/Engineering/Math. This book was released on 2009-02-04 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: From Patient to Payment: Insurance Procedures for the Medical Office, provides a practical, focused overview of medical insurance and billing. Each chapter is structured to give students a hands-on, practical approach to understanding and working with claims, both paper and electronic, and the medical billing process. This text is precisely tailored for a brief introduction, as the fundamental understanding of coding and claim filing principles is the goal. Incorporated are the latest HIPAA forms and regulations, medical coding, and electronic claims in a clear and focused program. It equips students with the basics of preparing correct health care claims, and provides a brief introduction to Medisoft Patient Billing software V14 , which can be used to complete claims.

Newman's Billing and Coding Specialist Study Guide

Newman's Billing and Coding Specialist Study Guide

Author: Xaiver Newman

Publisher: CreateSpace

Published: 2012-01-01

Total Pages: 216

ISBN-13: 9781493712816

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Medical coding professionals provide a key step in the medical billing process. Every time a patient receives professional health care in a physician's office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must document the services provided. The medical coder will abstract the information from the documentation, assign the appropriate codes, and create a claim to be paid, whether by a commercial payer, the patient, or CMS. While the medical coder and medical biller may be the same person or may work closely together to make sure all invoices are paid properly, the medical coder is primarily responsible for abstracting and assigning the appropriate coding on the claims. In order to accomplish this, the coder checks a variety of sources within the patient's medical record, (i.e. the transcription of the doctor's notes, ordered laboratory tests, requested imaging studies and other sources) to verify the work that was done. Then the coder must assign CPT codes, ICD-9 codes and HCPCS codes to both report the procedures that were performed and to provide the medical biller with the information necessary to process a claim for reimbursement by the appropriate insurance agency. This text is intended to dispel any ambiguity prior to taking your national certification. This text contains over 400 preparatory examination questions, covering ICD-9, ICD-10, Revenue cycle, Medical report extrapolation assignments, HCPCS, UB04, and CPT.


Book Synopsis Newman's Billing and Coding Specialist Study Guide by : Xaiver Newman

Download or read book Newman's Billing and Coding Specialist Study Guide written by Xaiver Newman and published by CreateSpace. This book was released on 2012-01-01 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical coding professionals provide a key step in the medical billing process. Every time a patient receives professional health care in a physician's office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must document the services provided. The medical coder will abstract the information from the documentation, assign the appropriate codes, and create a claim to be paid, whether by a commercial payer, the patient, or CMS. While the medical coder and medical biller may be the same person or may work closely together to make sure all invoices are paid properly, the medical coder is primarily responsible for abstracting and assigning the appropriate coding on the claims. In order to accomplish this, the coder checks a variety of sources within the patient's medical record, (i.e. the transcription of the doctor's notes, ordered laboratory tests, requested imaging studies and other sources) to verify the work that was done. Then the coder must assign CPT codes, ICD-9 codes and HCPCS codes to both report the procedures that were performed and to provide the medical biller with the information necessary to process a claim for reimbursement by the appropriate insurance agency. This text is intended to dispel any ambiguity prior to taking your national certification. This text contains over 400 preparatory examination questions, covering ICD-9, ICD-10, Revenue cycle, Medical report extrapolation assignments, HCPCS, UB04, and CPT.

Medical Billing & Coding For Dummies

Medical Billing & Coding For Dummies

Author: Karen Smiley

Publisher: John Wiley & Sons

Published: 2019-12-05

Total Pages: 355

ISBN-13: 1119625440

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The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!


Book Synopsis Medical Billing & Coding For Dummies by : Karen Smiley

Download or read book Medical Billing & Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2019-12-05 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

Understanding Hospital Billing and Coding - E-Book

Understanding Hospital Billing and Coding - E-Book

Author: Debra P. Ferenc

Publisher: Elsevier Health Sciences

Published: 2013-12-27

Total Pages: 624

ISBN-13: 0323292267

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A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. UPDATED content reflects the most current industry changes in ICD-10, MR-DRGs, PPS Systems, and the Electronic Health Record. NEW Hospital Introduction chapter includes a department-by-department overview showing how today’s hospitals really work NEW Health Care Payers and Reimbursement section follows the workflow of the hospital claim by including successive chapters on payers, prospect payment systems, and accounts receivable management.


Book Synopsis Understanding Hospital Billing and Coding - E-Book by : Debra P. Ferenc

Download or read book Understanding Hospital Billing and Coding - E-Book written by Debra P. Ferenc and published by Elsevier Health Sciences. This book was released on 2013-12-27 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt: A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. UPDATED content reflects the most current industry changes in ICD-10, MR-DRGs, PPS Systems, and the Electronic Health Record. NEW Hospital Introduction chapter includes a department-by-department overview showing how today’s hospitals really work NEW Health Care Payers and Reimbursement section follows the workflow of the hospital claim by including successive chapters on payers, prospect payment systems, and accounts receivable management.

Billing Made Simple: A How To Guide

Billing Made Simple: A How To Guide

Author:

Publisher: Patrice Coates

Published:

Total Pages: 99

ISBN-13:

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In this 99 page E book, there is information on how to process medical billing claims and how to start a home based medical billing business. Also, included in the e book are exercises to use in conjunction with the online claims tool.


Book Synopsis Billing Made Simple: A How To Guide by :

Download or read book Billing Made Simple: A How To Guide written by and published by Patrice Coates. This book was released on with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this 99 page E book, there is information on how to process medical billing claims and how to start a home based medical billing business. Also, included in the e book are exercises to use in conjunction with the online claims tool.

Patient Access

Patient Access

Author: Elizabeth W. Woodcock

Publisher: Medical Group Management Association/Center for Research in Ambulatory Health Care Administration

Published: 2017

Total Pages: 235

ISBN-13: 9781568295336

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Preceded by It's your call / Elizabeth W. Woodcock, Deborah Walker Keegan. c2013.


Book Synopsis Patient Access by : Elizabeth W. Woodcock

Download or read book Patient Access written by Elizabeth W. Woodcock and published by Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2017 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by It's your call / Elizabeth W. Woodcock, Deborah Walker Keegan. c2013.