Medical Billing and Coding Guide For Beginners in 1 Hour

A Quick Reference Guide to a Successful Career as a Medical Biller and Coder

By: Harry Delgado

Narrated by: Virtual Voice

Length: 3 hrs and 23 mins

Publisher's summary

Medical billing and coding are important parts of the American healthcare system, which ensure that healthcare providers are compensated promptly for the medical and clinical services they offer to patients. Billing can be more accurate and efficient with the use of codes. The process and diagnosis are used to evaluate the efficacy of a medical procedure or to monitor the spread of diseases. Medical billing and coding are also much more than just codes and technical language. It is also about working with people and learning how to interact with different types of people and businesses.
In this book, the profession, guidelines, and ethics of medical billing and coding are unearthed for both newbies and professionals in the business. Consider this book a friendly guide to all the twists and turns you will face in the medical billing and coding industry, from passing the certification exam to getting a job to dealing with insurance companies and reading physician data.
The major objective of this book is to familiarize you with the world of medical billing and coding so that you are prepared to enter this tough, ever-changing, and intriguing profession. This book covers all you need to know about medical billing and coding, from the differences between the two careers to how to prepare for and land a billing and coding job.
A snippet of the topics covered include:
The Reality of Billing and Coding
Diagnosis Codes
Treatment Codes
Treatment Code Modifiers
Process of a Claim
Billing and Coding Terminologies and Abbreviations
Acronyms and Abbreviations
Job Outlook for Medical Billers and Coders (Career Paths)
What do Medical Billers and Coders do?
Medical Billing and Coding Job Outlook
Why Should You Consider Medical Billing?
Medical Coder Job Checklist
Working Remotely as a Biller and Coder
Compliance and Non-Compliance
Recognizing When Unbundling Isn't Appropriate
Understanding the Concept of Auditing
Distinguishing Between Internal and Payer Audits
Penalty of Avoiding an Audit
Medical Terminologies
Understanding Medical Necessity
Proving Medical Necessity for Surgical Procedures
Endoscopic Procedures in Perspective
Surgical Procedures in Perspective
Looking at incidentals and when procedures can be separately reported
Understanding billing modifiers
Understanding the World of Evaluation and Management Codes
Overview of what happens during the run-of-the-mill E&M visit
Determining the level of billable service
Handling commercial insurance payers
Picking third-party administrators
Understanding Medicare
Putting Medicare supplement policies in perspective
Coding and Processing Medicare claims
How to become a certified medical biller and coder
Going for the AAPC Trademarked Certifications
Going for the AHIMA Certifications
Digging up Complimentary CEU Resources
The Perfect Billing Scenario
Entering the Codes into the Billing Software
How to Track Claim from Submission to Payment
How to prepare an error-free claim
Factors Affecting Reimbursement Amounts
Understanding Remittance Advice
A General Guideline of filing an appeal and when to do so
Understanding the art of the appealing
Appealing Medicare Processing
Understanding the difference between ICD-9 and ICD-10
Working on the 5010 platform
ICD-10
How to handle commercial insurance claims
Going through and Verifying the Patient’s Plan and Coverage
Medicare and Medicaid
Working with Medicare Claims
Getting Medicare-approved
Processing Medicare claims
Doing Business with Medicare Part C Plans
Understanding the coding ethics
***********and More***************
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PERTINENT INFORMATION

So very much was covered and definitely helped me to decide which way to turn in my abstract thinking. I also, unexpectedly, learned about the billing of Medicare, in particular. I am pleasantly surprised by all the important information that came out of this highly interesting 3-hr session. My intentions are to listen again and take good notes.