3 Service and Procedural Coding: Current Procedural Terminology (CPT) Chapter Outline Introduction CPT—the HIPAA Standard Code Set Purpose Training and Advancement Certifications Understanding CPT CPT Coding Sections What is a…
2 Diagnostic Coding International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Chapter Outline History The Meaning of Classification For Comparison and Communication What is ICD-10-CM? ICD-10-CM Structure Differences between…
6 Medicare and Medicaid Chapter Outline Introduction Medicare Part A Medicare Part B Medicare Part C Medicare Part D Eligibility Requirements Medicare Identification Card Assignment and Participation Types of Providers…
9 Legal Issues Chapter Outline Introduction Medical Ethics Medical Records Protected Health Information: The HIPAA Privacy Rule Privacy Rule HIPAA Security Rule Federal Law and State Laws State Insurance Commissions…
1 Diagnostic Coding International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Chapter Outline History Purpose Coding Compliance Contents of ICD-9-CM Tabular (Volume 1) Index (Volume 2) Volume 3 ICD-9-CM…
7 Insurance Claim Forms Chapter Outline Introduction HIPAA and Electronic Claim Submission Standards for Code Sets Standards for Electronic Claims The 837P Supporting Code Sets Grouping of Information for the…
8 Accounts Receivable Chapter Outline Introduction Pegboard Systems Computer Systems Insurance Participation Common Claim Errors Payment Responsibility Collection Policies Collection Letters Bad Debt Collection General Claims Information Medicare and Reimbursement…
10 Putting it All Together Objectives After completing this chapter, readers should be able to: Organize and process claims appropriately. Complete insurance claims based on patient demographic information. Code ICD-9-CM…
5 Understanding Insurance Policies Chapter Outline Section 1 Insurance Carriers and Policies Introduction Defining Payment Methodologies Fee Schedules Relative Value Study Usual, Customary, and Reasonable Payment Plans Ambulatory Payment Classification…
4 HCPCS Coding System Chapter Outline HCPCS Background Information HealthCare Common Procedure Coding System Levels of Codes HCPCS Format Types of HCPCS Level II Codes Correct Code Selection Types of…
