Coding And Revenue Cycle Management

Advertisement



  coding and revenue cycle management: Revenue Cycle Management Toolkit , 2008 Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow William L. Malm, ND, RN, Contributing Editor Maintain a complete, thorough revenue cycle process The scope of a healthcare organization's revenue cycle is broad, encompassing issues on the front end of operations, in the coding and chargemaster departments, and in back-end/ reimbursement duties. New elements are constantly being introduced, with concepts such as MS-DRGs, Recovery Audit Contractors, and the Present on Admission Indicator, which all require operational changes. Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow caters to the complexities and demands that come with managing every facet of your organization's revenue cycle, from the moment a patient walks through the door to reconciling payment for services rendered. A follow-up to HCPro's successful 2006 edition, Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow features forms, checklists, tips, and advice for all aspects of the revenue cycle including: Registration and scheduling Upfront collections Chargemaster maintenance Outpatient coding, including major OPPS changes, drug administration and incident-to Inpatient coding, including RACs Billing and collections Emergency department Taken from the pages of HCPro's popular newsletters Patient Access Advisor, Briefings on Coding Compliance Strategies, Briefings on APCs, and Managed Care Contracting and Reimbursement Advisor, Revenue Cycle Management Toolkit offers value-added management and training tools such as quizzes to reinforce learning and assess competency, and sample case studies to illustrate practical demonstrations of the material provided in the book. With a foreword written by William Malm, ND, RN, director of HCPro's Revenue Cycle Institute, Revenue Cycle Management Toolkit provides sensible guidance and tools you can use immediately to start strengthening all of the functions in your revenue cycle, from patient access, all the way through to managed care contracting. This book will help you: Reference specific details relevant to each step in the cycle with easy-to-navigate tabs and chapters Identify specific successful methods used by your peers, that you can implement in your own organization, including detailed case studies and applicable tools Customize important documents such as audit plans and model letters, with templates provided on the accompanying CD-ROM Discover time-sensitive analysis of important changes and programs in 2008, including MSDRGs, Recovery Audit Contractors, and the Present on Admission Indicator Take a look at the table of contents, which are chock full of ways to upgrade your revenue cycle process: Foreword Chapter 1: UNCHS Case Studies Chapter 2: Patient Access Chapter 3: Chargemaster and Outpatient Coding Chapter 4: Inpatient Coding Chapter 5: Patient Financial Services Chapter 6: Spotlight on the Emergency Department
  coding and revenue cycle management: Justcoding's Practical Guide to Coding Management Rose T. Dunn, 2016-10-01 JustCoding's Practical Guide to Coding Management Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS ICD-10's arrival changed more than code selection--it's also brought challenges related to coder productivity, coding quality and accuracy, staffing shortages, coder education and training, and the increased need for auditing. The old rules and standards for running a department no longer apply, and coding managers must update their efforts, just as coders themselves have. This book gives coding managers new benchmarks, standards, and tips to ensure they're running an effective coding department. It provides strategies for coder retention, best practices to balance internal and outsourced coders, and tips for managing on-site and remote staff. The book also provides much-needed information for managers on how to educate their teams on coding's role within the revenue cycle.
  coding and revenue cycle management: Medical Revenue Cycle Management - The Comprehensive Guide VIRUTI SATYAN SHIVAN, This essential guide dives deep into the intricacies of Medical Revenue Cycle Management (MRCM), offering healthcare professionals, administrators, and students a clear roadmap to mastering the financial backbone of healthcare services. In a landscape where financial health is as critical as patient health, this book stands out by providing a meticulously researched, expertly written exploration of every phase of the revenue cycle—from patient registration to the final payment of balances. Without relying on images or illustrations, we navigate through complex regulations, coding challenges, and billing practices with clarity and precision, making this complex subject accessible and actionable. Our unique approach combines theoretical frameworks with practical, real-world applications, setting this book apart as a must-buy. We delve into innovative strategies for optimizing revenue, reducing denials, and enhancing patient satisfaction, all while maintaining compliance with evolving healthcare laws and regulations. By focusing on efficiency and effectiveness, we equip readers with the tools and insights needed to transform their revenue cycle processes. Whether you're looking to refine your current practices or build a foundation of knowledge from the ground up, this guide offers invaluable insights into achieving financial stability and success in the ever-changing world of healthcare.
  coding and revenue cycle management: Revenue Cycle Management Best Practices Nadinia A. Davis, Belinda M. Doyle, 2016
  coding and revenue cycle management: DRG Expert Ingenix, 2010-09 THE DRG EXPERT has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively.
  coding and revenue cycle management: Theory and Practice of Business Intelligence in Healthcare Khuntia, Jiban, Ning, Xue, Tanniru, Mohan, 2019-12-27 Business intelligence supports managers in enterprises to make informed business decisions in various levels and domains such as in healthcare. These technologies can handle large structured and unstructured data (big data) in the healthcare industry. Because of the complex nature of healthcare data and the significant impact of healthcare data analysis, it is important to understand both the theories and practices of business intelligence in healthcare. Theory and Practice of Business Intelligence in Healthcare is a collection of innovative research that introduces data mining, modeling, and analytic techniques to health and healthcare data; articulates the value of big volumes of data to health and healthcare; evaluates business intelligence tools; and explores business intelligence use and applications in healthcare. While highlighting topics including digital health, operations intelligence, and patient empowerment, this book is ideally designed for healthcare professionals, IT consultants, hospital directors, data management staff, data analysts, hospital administrators, executives, managers, academicians, students, and researchers seeking current research on the digitization of health records and health systems integration.
  coding and revenue cycle management: Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition Anne Casto, Susan White, 2023-10-02
  coding and revenue cycle management: Health Care Finance and the Mechanics of Insurance and Reimbursement Michael K. Harrington, 2019-10-01 Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.
  coding and revenue cycle management: ,
  coding and revenue cycle management: Hospital Reimbursement Kyle Herbert, 2012-06-05 Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also: Covers the full range of services and procedures for which a hospital can receive reimbursement Explains the difference between a for-profit and not-for-profit hospital Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet) Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.
  coding and revenue cycle management: The Business Basics of Building and Managing a Healthcare Practice Neil Baum, Marc J. Kahn, 2019-11-20 This book is intended to be a roadmap towards a successful practice for medical students, residents, fellows, and doctors. This roadmap focuses on how to build and manage a medical practice, and can be applied regardless if the reader is employed, joins a small group, or if they are a doctor who decides to start their own practice. Part I covers the basic business concepts that every physician needs to know. Chapters emphasize the benefits that accrue to a physician who understands the basics of business. Part II provides a guide for doctors who are beginning a medical practice. The chapters define the various options for doctors’ employment such as solo practice, group practice, and academic medicine. The section also includes the process of negotiating contracts, identifying the advisers who help physicians become successful, and secure within their field and practice. The final part emphasizes strategies on how to build and grow a successful practice by covering topics such as hiring staff, employee motivation, creating a brand, gaining recognition, online reputation and presence, crisis management, integrating new technology, and work/life balance. The Business Basics of Building and Managing a Healthcare Practice serves as a valuable resource that helps doctors make a difference in the lives of their patients, as well as help them make good financial decisions.
  coding and revenue cycle management: The Revenue Integrity Manager's Guidebook Rose T Dunn, 2018-04
  coding and revenue cycle management: Medical Coding and Billing - The Comprehensive Guide VIRUTI SHIVAN, Dive into the world of medical coding and billing with Medical Coding and Billing - The Comprehensive Guide. This essential resource provides a thorough understanding of the crucial role these fields play in healthcare administration. Whether you're a student, a healthcare professional, or simply interested in the administrative side of healthcare, this guide offers comprehensive coverage of the latest coding systems, billing procedures, and regulatory requirements. Written by experts in the field, the book navigates through complex coding systems, including ICD-10, CPT, and HCPCS, ensuring you're up-to-date with current practices. Beyond the codes, it delves into the practical aspects of billing, claims processing, and the nuances of insurance. Essential topics like compliance, ethics, and the impact of coding on revenue cycle management are covered in depth. This guide also addresses the ever-evolving landscape of healthcare legislation, providing insights into how these changes affect medical coding and billing. Furthermore, to ensure a clear focus on content, this book does not include images or illustrations for copyright purposes. Whether you're aiming for certification or looking to enhance your professional skills, Medical Coding and Billing - The Comprehensive Guide is your indispensable resource in mastering the intricacies of this vital healthcare industry role.
  coding and revenue cycle management: Fordney's Medical Insurance - E-Book Linda M. Smith, 2019-01-18 - NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. - NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. - NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.
  coding and revenue cycle management: Introduction to Radiologic and Imaging Sciences and Patient Care E-Book Arlene M. Adler, Richard R. Carlton, Kori L. Stewart, 2022-08-11 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Radiologic Technology** Using a clear and concise format, Introduction to Radiologic and Imaging Sciences and Patient Care, 8th Edition familiarizes you with the imaging sciences and covers the patient care skills necessary for clinical practice. It offers current, comprehensive content that meets the relevant standards set by the American Society of Radiologic Technologists (ASRT) Curriculum Guide and the American Registry of Radiologic Technologists (ARRT) Task List for certification examinations. This edition includes updates on current digital imaging and instrumentation, providing the essential information and tools you need to master any introduction to radiologic sciences or patient care class. Chapter review questions and lab activities, available online and on tear sheets in the text, give you easy access to study materials for on-the-go learning. In addition to helping you prepare for certification, the content provides useful and practical information that is essential for professional practice and clinical competency. - Expanded and updated career content addresses professional development and advancement. - Patient care content includes information on biomechanics and ergonomics of the radiologic and imaging sciences professional. - Information management coverage provides an overview of health informatics for the radiologic and imaging sciences professional. - Step-by-step procedures presented in boxed lists throughout the text supply you with easy-to-follow steps for clinical success. - Back-of-book review questions and questions to ponder provide opportunities for further review and greater challenge. - More than 300 photos and line drawings help you understand and visualize patient-care procedures. - Strong pedagogy, including chapter objectives, key terms, outlines, and summaries organize information and ensure you understand what is most important in every chapter. - NEW! Comprehensive coverage encompasses the greater breadth and depth of all primary modalities of the radiologic and imaging sciences as they relate to patient care.
  coding and revenue cycle management: Health Care Finance and the Mechanics of Insurance and Reimbursement Michael K. Harrington, 2023-07 Health Care Finance and the Mechanics of Insurance and Reimbursement combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Updated throughout the Third Edition offers expanded material on financial statements; new and expanded Skilled Nursing Facility examples; and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling (data mining), and more. Key Features: - Thoroughly covers the methods and process for reimbursement including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing - Prepares health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. - Addresses all the new characteristics of the accounting authorities that the health care administrator will have to deal with after the COVID-19 Pandemic. - Includes a full chapter on the ACA that addresses recent and anticipated future changes that could impact not only the patient but the various health care organizations that provide care in the inpatient and outpatient settings.
  coding and revenue cycle management: ICD-9-CM Inpatient Coding Reference and Study Guide Ba Kobayashi, 2010-07 If you need to have a strong understanding of how ICD-9-CM diagnosis and procedure codes are determined, then you have chosen the right book, ICD-9-CM Inpatient Coding Reference and Study Guide. The author designed a book that goes beyond the fundamentals, that gets into the details of ICD-9-CM diagnosis and procedure code assignment as would be experienced on the job. This user-friendly reference teaches coders how to handle many coding situations, while also being comprehensive enough to teach someone with a basic knowledge of medical coding how to move to the next level of advanced inpatient coding. Updated every year to reflect the annual ICD-9-CM coding changes, the text enables HIM professionals to master the concepts of medical coding while also gaining critical knowledge to pass the CCS exam administered by AHIMA and the CPC-H exam from the AAPC. The book also serves as an excellent desk reference and resource for coders who need to refresh their ICD-9-CM coding skills. Among the topics covered in Volume 1 are inpatient coding guidelines, coding conventions, coding tables, and a drug reference. However, the heart of this manual is the body system analysis, based on chapters 1 - 17 of the Tabular list in Volume I of the ICD-9-CM Official Coding Guidelines. The chapters are categorized by body system such as respiratory, digestive, et al. The chapters in this study guide follow the same sequence as the Official Coding Guidelines. All chapters, in addition to highlighting basic coding guidelines, contain situation-based coding tips and coding examples. A quiz follows each chapter reinforcing concepts in a rigorous manner that applies directly to the professional coding environment. The book also contains a selective discussion of invasive procedures that the coder will most likely encounter on the job and on the exam. At the end of ICD-9-CM Inpatient Coding Reference and Study Guide are 15 case studies, providing the reader with an opportunity to assess their ICD-9-CM coding skill set and speed at coding inpatient medical records. Each record contains a face sheet, history & physical, progress notes, and answer sheet. Some of the case studies contain ER reports, consultations, as well as operative and pathology reports. The answer key at the end of this study guide contains a rationale for all code assignments. 456 short answer questions 116 multiple choice questions 15 full medical record case studies Each question is highly relevant and reflects a coding situation most hospital-based inpatient coders will face. The text strives to ensure the reader understands every diagnosis and procedure discussed: thorough discussion of symptoms, standard treatment protocols, and medications. Coding examples and quizzes help clarify the information presented. Linda Kobayashi, BA, RHIT, CCS, has been a coder and coding manager for almost 20 years. Since 1998, Ms. Kobayashi has owned and operated Codebusters, Inc., a nationwide coding consulting company. Widely regarded as a medical coding and auditing expert, she has conducted workshops on a variety of coding topics, including CCS Exam preparation workshops. Throughout her career the author has remained professionally active, as an AHIMA member as well as a member of her state association, CHIA (California health Information Association). Her formal training includes a teaching credential from California State University Los Angeles, a B.A. degree in English Literature from University of California Los Angeles, an RHIT from AHIMA after completing the RHIT program at East Los Angeles College, and a CCS certificate from AHIMA. Extensive experience as a hands-on coder, auditor and educator, and has given the author the expertise to help coders prepare for the professional coding environment.
  coding and revenue cycle management: The Medical-Legal Aspects of Acute Care Medicine James E. Szalados, 2021-04-02 The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals.
  coding and revenue cycle management: Coding for Chest Medicine 2009 , 2009
  coding and revenue cycle management: Applied Artificial Intelligence Swati V. Shinde, Varsha Bendre, D. Jude Hemanth, M.A. Balafar, 2023-09-29 This book explores the advancements and future challenges in biomedical application developments using breakthrough technologies like Artificial Intelligence (AI), Internet of Things (IoT), and Signal Processing. It will also contribute to biosensors and secure systems,and related research. Applied Artificial Intelligence: A Biomedical Perspective begins by detailing recent trends and challenges of applied artificial intelligence in biomedical systems. Part I of the book presents the technological background of the book in terms of applied artificial intelligence in the biomedical domain. Part II demonstrates the recent advancements in automated medical image analysis that have opened ample research opportunities in the applications of deep learning to different diseases. Part III focuses on the use of cyberphysical systems that facilitates computing anywhere by using medical IoT and biosensors and the numerous applications of this technology in the healthcare domain. Part IV describes the different signal processing applications in the healthcare domain. It also includes the prediction of some human diseases based on the inputs in signal format. Part V highlights the scope and applications of biosensors and security aspects of biomedical images. The book will be beneficial to the researchers, industry persons, faculty, and students working in biomedical applications of computer science and electronics engineering. It will also be a useful resource for teaching courses like AI/ML, medical IoT, signal processing, biomedical engineering, and medical image analysis.
  coding and revenue cycle management: It's All Analytics, Part III Scott Burk, Gary Miner, 2023-09-15 Professionals are challenged each day by a changing landscape of technology and terminology. In recent history, especially the last 25 years, there has been an explosion of terms and methods born that automate and improve decision-making and operations. One term, called analytics, is an overarching description of a compilation of methodologies. But artificial intelligence (AI), statistics, decision science, and optimization, which have been around for decades, have resurged. Also, things like business intelligence, online analytical processing (OLAP) and many, many more have been born or reborn. How is someone to make sense of all this methodology, terminology? Extending on the foundations introduced in the first book, this book illustrates how professionals in healthcare, business, and government are applying these disciplines, methods, and technologies. The goal of this book is to get leaders and practitioners to start thinking about how they may deploy techniques outside their function or industry into their domain. Application of modern technology into new areas is one of the fastest, most effective ways to improve results. By providing a rich set of examples, this book fosters creativity in the application and use of AI and analytics in innovative ways.
  coding and revenue cycle management: Understanding Hospital Billing and Coding Debra P. Ferenc, 2013-02-26 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 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.
  coding and revenue cycle management: Hospitals & Health Care Organizations David Edward Marcinko, Hope Rachel Hetico, 2012-07-06 Drawing on the expertise of decision-making professionals, leaders, and managers in health care organizations, Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing costs, and growing consumer expectations in today‘s increasingly competi
  coding and revenue cycle management: CDT 2025 Coding Companion American Dental Association, 2024-09-13 The fundamental rule to apply in all coding situations is “code for what you do.” The CDT 2025 Coding Companion can help you do just that by walking staff through the steps needed to complete detailed patient records and submit accurate claims. This instructional text features more than 200 coding scenarios to provide you with step-by-step examples for how to code different cases and treatments. It includes examples of how to use new and revised codes, so even a seasoned coder can benefit from this 2025 edition. For less experienced coding staff, the CDT 2025 Coding Companion takes the stress out of coding with more than 270 questions and answers to help prepare for any coding situation. Written by dental coding experts and vetted by the ADA, the Coding Companion can be trusted as the definitive source of coding information
  coding and revenue cycle management: Comprehensive Pediatric Hospital Medicine Lisa B. Zaoutis, Vincent W. Chiang, 2007-01-01 This new, comprehensive reference not only brings readers the most up-to-date, evidence-based approaches to hospital-based pediatric care, but also covers issues related to staffing a unit; financial, legal, and ethical practices; and how to maintain effective communication between referring providers and consulting staff.
  coding and revenue cycle management: The Essential Guide to Coding in Otolaryngology Seth M. Brown, Kimberley J. Pollock, Michael Setzen, Abtin Tabaee, 2021-09-07 The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference
  coding and revenue cycle management: Financial Management Strategies for Hospitals and Healthcare Organizations David Edward Marcinko, Hope Rachel Hertico, 2013-09-05 In this book, a world-class editorial advisory board and an independent team of contributors draw on their experience in operations, leadership, and Lean managerial decision making to share helpful insights on the valuation of hospitals in today‘s changing reimbursement and regulatory environments.Using language that is easy to understand, Financia
  coding and revenue cycle management: Fordney's Medical Insurance and Billing - E-Book Linda M. Smith, 2021-10-27 - NEW! Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student. - NEW! Scenario boxes help you apply concepts to real-world situations. - NEW! Quick Review sections summarize chapter content and also include review questions. - NEW! Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter's content. - NEW! Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.
  coding and revenue cycle management: Foundations of Health Information Management - E-Book Nadinia A. Davis, 2023-05-15 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Health Information Management** Foundations of Health Information Management, 6th Edition is an absolute must for anyone beginning a career in HIM. By focusing on healthcare delivery systems, electronic health records, and the processing, maintenance, and analysis of health information, this engaging, easy-to-understand text presents a realistic and practical view of technology and trends in healthcare. It readies you for the role of a Registered Health Information Technician, who not only maintains and secures accurate health documentation, but serves as a healthcare analyst who translates data into useful, quality information that can control costs and further research. This edition is organized by CAHIIM competencies to prepare you for the RHIT® credentialing exam, as well as EHR samples, critical-thinking exercises, and expanded coverage of key issues in HIM today. - Clear writing style and easy reading level make reading and studying more time efficient. - Organized for CAHIIM competencies to assure that you are prepared to sit for the exam. - Competency Check-in Exercises at the end of every main section in each chapter encourage you to review and apply key concepts. - Competency Milestone feature at the end of each chapter hosts ample assessments to ensure your comprehension of the CAHIIM competencies. - Ethics Challenge links topics to professional ethics with real-world scenarios and critical-thinking questions. - Critical-thinking questions challenge you to apply learning to professional situations. - Mock RHIT® exam provides you with the opportunity to practice taking a timed, objective-based exam. - Specialized chapters, including legal, statistics, coding, and performance improvement and project management, support in-depth learning. - Professional Profile highlights key HIM professionals represented in chapter discussions. - Patient Care Perspective illustrates the impact of HIM professionals on patients and patient care. - Career Tip boxes instruct you on a course of study and work experience required for the position. - Chapter summaries and reviews allow for easy review of each chapter's main concepts. - SimChart® and SimChart® for the Medical Office EHR samples demonstrate electronic medical records in use.
  coding and revenue cycle management: Observation Medicine Sharon E. Mace, 2017-03-16 This guide to successful practices in observation medicine covers both clinical and administrative aspects for a multinational audience.
  coding and revenue cycle management: The Business of Medical Practice David Edward Marcinko, 2010-12-15 Print+CourseSmart
  coding and revenue cycle management: ASHP's Management Pearls Deborah Swartwood Ash, 2008-10-22 One of the significant values of the “pearls” is to show the creative ways that issues were approached, and solutions reached. Many variations in practice setting present themselves (hospital size, location, patient base, etc.) but the value of creative approaches to problems has a universal appeal. Management Pearls is edited by Deborah Ash who was the session chair for the 2007 presentations. The publication provides a number of examples of tools, techniques, and interventions that have improved pharmacy management in both U.S. and foreign health systems.
  coding and revenue cycle management: Revenue Cycle Management Kem Tolliver, Shawntea Moheiser, 2020-04-16 It is easy to get lost in all the phases of revenue management, so how does a practice keep it all straight? Proven solutions to optimize revenue cycle are the key, and this primer is a business-critical resource to deliver just that.
  coding and revenue cycle management: The Business of Hand Surgery, An Issue of Hand Clinics, E-Book James Saucedo, Noah M. Raizman, 2024-10-16 In this issue of Hand Clinics, guest editors Drs. James Saucedo and Noah M. Raizman bring their considerable expertise to the topic of The Business of Hand Surgery. This issue brings together the knowledge and experience of hand surgeons and business school professors to provide a full and comprehensive view of this timely topic. These practical, up-to-date articles will help hand surgeons not only manage their practices more efficiently and effectively, but also help resourcefully improve patient health. - Contains 12 relevant, practice-oriented topics including the revenue cycle: from billing to collections; marketing and strategy: how to build your practice; how to bring cost-effective care to your practice; the importance of culture: why leadership, diversity, and safety matter; personal development: building boundaries, emotional intelligence, effective communication, and leadership skills; and more. - Provides in-depth clinical reviews on the business of hand surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
  coding and revenue cycle management: Core Functions of Revenue Integrity Valerie A. Rinkle, 2017
  coding and revenue cycle management: Health Care Administration Lawrence F. Wolper, 2004 Health Care Administration continues to be the definitive guide to contemporary health administration and is a must-have reference for students and professionals. This classic text provides comprehensive coverage of detailed functional, technical, and organizational matters.
  coding and revenue cycle management: Healthcare Financial Management , 2008
  coding and revenue cycle management: Reinventing Revenue Cycle Management April Wilson, Casey Williams, Marty Callahan, 2018-06-08 While the industry continues to undergo growing pains, transitioning to value-based care from fee-for-service, hospitals and providers are also fielding new challenges that have emerged on the regulatory, technology, and patient-consumer fronts. Hospitals and providers are in a race against one another to find new ways to attract and retain patients. Now that patients are assuming greater financial responsibility for their healthcare costs, whether voluntarily or involuntarily, their expectations are high about having a positive clinical and financial experience. Therefore, the engagement of patients should begin before the actual clinical encounter. The RCM departments of forward-thinking organizations recognize that an active patient engagement strategy is an effective way of influencing positive patient payment behaviors.Revenue cycle plays an intrinsic role in the overall patient experience, and there are multiple touchpoints by which to engage patients before billing them. Some examples include being transparent with patients at the outset about their financial obligations, removing barriers to payment by providing flexible options and payment tools, such as an online payment portal, and enhancing the design of billing statements. Patient engagement that prioritizes consumer satisfaction can lead to good financial outcomes for healthcare organizations.This book will help RCM professionals navigate the changing environment successfully.
  coding and revenue cycle management: CODE BLUE TO CODE AI SUDHANSHU TONPE, 2024-08-23 The unique selling proposition (USP) of Code Blue to Code AI lies in its comprehensive exploration of the transformative impact of artificial intelligence (AI) on the healthcare industry. Authored by Dr. Sudhanshu Tonpe, the book stands out by: Expertise: Dr. Tonpe, an accomplished radiologist, brings his firsthand experience and insights to provide an authoritative perspective on the integration of AI in healthcare. Holistic Coverage: The book covers various facets, including medical diagnostics, drug discovery, patient engagement, and the collaboration between AI and healthcare professionals, offering a well-rounded understanding of the subject. Real-world Examples: By incorporating real-world case studies and examples, the book bridges the gap between theory and practical application, making the content relatable and insightful. Accessible Language: Dr. Tonpe communicates complex concepts in a clear and accessible language, making the book suitable for both healthcare professionals and a broader audience interested in the intersection of medicine and AI. Current Relevance: Given the dynamic nature of healthcare and AI, the book is likely to address contemporary issues and trends, keeping the content relevant and up-to-date. In essence, Code Blue to Code AI offers a unique blend of expertise, comprehensive coverage, practical examples, and accessibility, making it a valuable resource for anyone interested in the future of healthcare through the lens of artificial intelligence.
  coding and revenue cycle management: Building Health Sciences Library Collections Megan Inman, Marlena Rose, 2023-07-03 Collection development is a cornerstone of librarianship; and with the rapid pace that library materials are produced, a thorough knowledge of collection development is more important than ever before. However, with the myriad of choices available, creating a meaningful collection can be a daunting task. Building and maintaining a health sciences library collection can be a challenge, especially in scenarios where there is no dedicated collection services department or collection development librarian. Often in library school curriculum, collection development strategies are discussed, but specific examples of bibliographic sources may not be covered in detail, particularly for health sciences resources. Many collection development books often discuss the creation of policies, budgeting practices, and usability. This book is a comprehensive reference guide for those who will be creating and curating their library health sciences collections. Moving beyond a traditional list of titles, this guide will focus on several formats and areas. It features specific bibliographic information for top resources for a variety of subject areas and in a variety of formats. This book is designed for all librarians, whether new or experienced. Each chapter of this title does a deep dive into an area of health sciences library collection building, as well as covering how to maintain a current collection. This book is designed to provide readers with a resource to lean on in determining the best bets in providing their users with health sciences resources to support curriculum, practice, and other user needs. Readers who are interested in gleaning techniques for maintaining their health sciences library collection will also benefit from this how-to guide as it details the deselection process. Every health sciences librarian, no matter their experience, can benefit from this reference guide.
Computer science and artificial intelligence curriculum for K-12 ...
Code.org provides free computer science and AI curriculum, plus professional development to support any teacher—no coding experience needed!

Computer Science for Students | Learn, Explore, and Create with …
Start with an Hour of Code, then explore self-paced coding courses on apps, games, and animations. Try App Lab, Game Lab, or Web Lab—and learn about AI, real-world careers, and …

Code.org for Parents | At-Home Computer Science Resources
Learn the fundamentals of computer science with free Hour of Code activities, featuring basic drag-and-drop coding blocks. There are tons of fun, hour-long options to choose from!

Hour of Code | Code.org
This movement helps to highlight how coding is behind everything from your favorite shoes to the music you listen to. By jumping into fun activities and starting your own projects, you can learn …

Unit: Course 2 - Code.org
Anyone can learn computer science. Make games, apps and art with code.

Minecraft | Code.org
Find the missing star, unlock hidden gags, and interact with a cast of mobs. Help the Agent overcome stage fright as you solve fun coding puzzles. Watch your coding skills shine in an …

Web Lab | Build Websites with HTML & CSS - Code.org
Web Lab lets students create and publish real websites using HTML and CSS. A hands-on way to learn web design and coding in middle and high school.

Online Computer Science Courses for Students | Code.org
Discover free and paid online courses that help students build CS skills, explore coding, and learn at their own pace with flexible learning options.

Code.org
Want to try coding without signing in? Dance Party Code a Dance Party to share with friends and family. Featuring Beyoncé, Harry Styles, Lizzo, Lil Nas X, Selena Gomez, music from Disney's …

Explore activities - Code.org
Code Club World: Make cool stuff with free coding games and activities

Computer science and artificial intelligence curriculum for K-12 ...
Code.org provides free computer science and AI curriculum, plus professional development to support any teacher—no coding experience needed!

Computer Science for Students | Learn, Explore, and Create with …
Start with an Hour of Code, then explore self-paced coding courses on apps, games, and animations. Try App Lab, Game Lab, or Web Lab—and learn about AI, real-world careers, and …

Code.org for Parents | At-Home Computer Science Resources
Learn the fundamentals of computer science with free Hour of Code activities, featuring basic drag-and-drop coding blocks. There are tons of fun, hour-long options to choose from!

Hour of Code | Code.org
This movement helps to highlight how coding is behind everything from your favorite shoes to the music you listen to. By jumping into fun activities and starting your own projects, you can learn …

Unit: Course 2 - Code.org
Anyone can learn computer science. Make games, apps and art with code.

Minecraft | Code.org
Find the missing star, unlock hidden gags, and interact with a cast of mobs. Help the Agent overcome stage fright as you solve fun coding puzzles. Watch your coding skills shine in an …

Web Lab | Build Websites with HTML & CSS - Code.org
Web Lab lets students create and publish real websites using HTML and CSS. A hands-on way to learn web design and coding in middle and high school.

Online Computer Science Courses for Students | Code.org
Discover free and paid online courses that help students build CS skills, explore coding, and learn at their own pace with flexible learning options.

Code.org
Want to try coding without signing in? Dance Party Code a Dance Party to share with friends and family. Featuring Beyoncé, Harry Styles, Lizzo, Lil Nas X, Selena Gomez, music from Disney's …

Explore activities - Code.org
Code Club World: Make cool stuff with free coding games and activities