Understanding Hospital Billing and Coding

- 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.

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