Nurse Key

Chapter 5 Hospital Billing Process Outline PURPOSE OF THE HOSPITAL BILLING PROCESS PAYER GUIDELINES CHARGE DESCRIPTION MASTER (CDM) CODING SYSTEMS CLAIM FORMS HOSPITAL REVENUE CYCLE Chapter Objectives 1. Define terms, phrases,…

Chapter 6 ICD-9-CM Diagnosis and Procedure Coding Outline HISTORY OF DIAGNOSIS CODING PURPOSE OF DIAGNOSIS CODING DIAGNOSIS CODING RELATIONSHIPS ICD-9-CM CONTENT ICD-9-CM OFFICIAL CONVENTIONS STEPS TO CODING USING ICD-9-CM ICD-9-CM…

Chapter 7 ICD-10-CM Diagnosis Coding Outline EVOLUTION OF DIAGNOSIS CODING IMPACT OF ICD-10 ICD-10-CM DATA USAGE TRANSITION TO ICD-10-CM ICD-10-CM CONTENT ICD-10-CM OFFICIAL CONVENTIONS STEPS TO CODING USING ICD-10-CM Chapter…

Chapter 11 Health Care Payers Outline TYPES OF HEALTH INSURANCE PLANS THIRD-PARTY PAYERS PRIVATE PAYERS GOVERNMENT PAYERS INSURANCE PLAN TERMS AND SPECIFICATIONS Chapter Objectives 1. Define terms, phrases, abbreviations, and acronyms….

Chapter 13 Accounts Receivable (A/R) Management Outline LIFE CYCLE OF A HOSPITAL CLAIM HOSPITAL BILLING PROCESS ACCOUNTS RECEIVABLE (A/R) MANAGEMENT CREDIT AND COLLECTION LAWS COLLECTION ACTIVITIES APPEALS PROCESS Chapter Objectives…

Chapter 4 Patient Accounts and Data Flow Outline PATIENT ACCOUNTS AND DATA FLOW PATIENT CARE PROCESS PATIENT ADMISSION ADMISSION PROCESS MEDICAL RECORD DOCUMENTATION PATIENT CARE SERVICES CHARGE CAPTURE PATIENT DISCHARGE…

Chapter 1 Hospital Introduction Outline HOSPITAL INTRODUCTION EVOLUTION OF HOSPITALS HISTORY OF HOSPITALS IN THE UNITED STATES MODERN-DAY HOSPITAL DEVELOPMENT HOSPITAL ORGANIZATIONAL STRUCTURE AND FUNCTIONS DEPARTMENTAL FUNCTIONS HOSPITAL CLASSIFICATIONS HOSPITAL…

Chapter 10 Claim Forms Outline PURPOSE OF CLAIM FORMS CLAIM FORM SUBMISSION CLAIM FORM VARIATIONS CMS-1500 CLAIM FORM OVERVIEW CMS-1450 (UB-04) CLAIM FORM OVERVIEW Chapter Objectives 1. Define terms, phrases, abbreviations,…