Coding and Reimbursement for Hospital Inpatient Services

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AHIMA, 2006 - Health insurance claims - 226 pages
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The most comprehensive resource for hospital inpatient coding and reimbursement! Provides educators, students, and healthcare practitioners with the most authoritative guidance available for managing inpatient coding and reimbursement issues. This must-have resource was developed to give you easier access to the most up-to-date information you need for inpatient coding and reimbursement. You'll save time and make more effective decisions with this one-of-a-kind resource.Covers reimbursement methodologies for hospital inpatient services, the structure and organization of hte Medicare Inpatient Acute Care Prospective Payment System, the relationship between coding and DRG assignment, and data quality and coding compliance processes related to coding and reimbursement for inpatient services.

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Contents

Introduction to Hospital Inpatient Services
3
Reimbursement Methodologies for Inpatient Services
15
Structure and Organization of the Medicare Inpatient Acute
29
Structure and Organization of Other Medicare Inpatient
41
Diagnostic and Procedural Coding for Inpatient Services
55
Coding and DRG Assignment
69
Processes Related to Coding and Reimbursement
83
Coding Compliance
93
Case Studies
135
Appendix A Standards for Ethical Coding
149
Annotated Bibliography of Suggested Coding References
161
The Impact on Healthcare and HIM
171
Appendix F AHIMA Practice Brief on Data Quality
177
Appendix G Developing a Coding Compliance Policy Document
183
Appendix H Developing an Effective Compliance Audit Process
189
Sample Audit Forms
203

Health Record Auditing Processes
109
Guide to Acronyms
117
References
215
Copyright

About the author (2006)

MEd, RHIA, CCS

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