Medical Billing and Coding For Dummies by Karen Smiley

Medical Billing and Coding For Dummies by Karen Smiley PDF

This edition of Medical Billing & Coding For Dummies provides readers with a complete overview of what to expect and how to succeed in a career in medical billing and coding. With healthcare providers moving more rapidly to electronic record systems, data accuracy and efficient data processing is more important than ever. 

Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding.

This updated resource includes details on the most current industry changes in ICD-10 (10th revision of the International Statistical Classification of Diseases and Related Health Problems) and PPS (Prospective Payment Systems), expanded coverage on the differences between EHRs and MHRs, the latest certification requirements and standard industry practices, and updated tips and advice for dealing with government agencies and insurance companies.

  • Prepare for a successful career in medical billing and coding
  • Get the latest updates on changes in the ICD-10 and PPS
  • Understand how the industry is changing and learn how to stay ahead of the curve
  • Learn about flexible employment options in this rapidly growing industry

Medical Billing & Coding For Dummies, provides aspiring professionals with detailed information and advice on what to expect in a billing and coding career, ways to find a training program, certification options, and ways to stay competitive in the field.

From the Back Cover

Learn to:

  • Land a job and start a career in billing and coding
  • Find a training program that prepares you for certification
  • Properly interact with insurance companies
  • Handle ethical and legal concerns

Learn how to launch a career in medical billing and coding

The market for medical billers and coders is booming. Get in on the action with the help of this fully updated guide! It tells you what’s involved, how billing and coding differ, what education and certification you need, how to land a job, and what to expect after you do. With new information on ICD-10 and updates on AHIMA and AAPC exams, it’s the roadmap to a career packed with potential.

  • Explore your options — learn what billers and coders do, look at training programs, and compare working in a medical office to working for an insurer or practice management company
  • See what you need to know — find out about HIPAA compliance, medical terminology, evaluation and management codes, Medicare, and the Affordable Care Act
  • Study time — compare certifications and education requirements and determine how to get the training you need
  • Learn what to expect — get the nitty-gritty on claims processing, how to check for and avoid errors, factors that affect reimbursement, and dispute handling
  • Know the stakeholders — learn to deal effectively with commercial insurers, Medicare, patients, and your employer

Open the book and find:

  • Why coding and billing are different jobs
  • Pros and cons of working offsite
  • Who makes the rules for this profession
  • Government payers and key insurers
  • How to choose the right certification
  • Things to know about filing an appeal
  • Ethics issues to keep in mind
  • Ten acronyms you need to memorize

About the Author

Karen Smiley, CPC, is a certified multi-specialty coding expert in physician and outpatient reimbursement. She is a professional coder at an ambulatory surgery center, and her extensive background includes commercial, Medicare, and Medicaid claims processing.