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Medical Billing & Coding Fd, 2e (For Dummies

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Your complete guide to a career in medical billing and coding, updated with the latest changes in the ICD-10 and PPS This fully updated second 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. Medical Billing & Coding For Dummies , 2nd Edition 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.

368 pages, Paperback

First published July 3, 2012

238 people are currently reading
267 people want to read

About the author

Karen Smiley

5 books1 follower

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5 stars
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Displaying 1 - 13 of 13 reviews
Profile Image for Dawn Livingston.
919 reviews42 followers
May 8, 2020
This is not a book to learn medical coding and billing, not quite. It's more of a complement to a medical and coding textbook. It gives info on what kinds of jobs you can get, and where you might be able to work. It talks about accredited programs and the differences. I would think this is a book you must have in addition to your textbook since I think it will tell you things that your textbook won't.
4 reviews
Want to read
December 16, 2022
Medical billing for orthopedic procedures and services includes a broad range of offerings. Orthopedic medical billers must be familiar with coding, comprehend the billing procedure, and be aware of any payor-specific requirements. The Orthopedic Biller/Coder is in charge of coding the operations and diagnosis codes and works closely with the providers to educate and collect precise answers in order to code appropriately. This is done in order to be proactive and earn income without delay. The orthopedic billers additionally follow procedures for submitting claims, posting payments, tracking down rejections or denials, comprehending medical billing software, confirming appropriate payments, and charging clients. Any internal billing professional may find it difficult to keep up with these processes.MedsDental is a renowned Dental Billing Company in the united states, equipped of the revenue cycle experts who are highly proficient in delivering fast and the error-free billing services to the dental practices by using the cutting edge technology.

Coronis Health is an expert in the medical billing process as company with more than 30 years of expertise in the industry. Our licensed coders and skilled professionals who specialize in orthopedic billing are familiar with the complexities and subtleties of the medical coding and billing industry.


We embrace the chance to go above and beyond for your facility by lowering claim denials, broadening your revenue opportunities, and boosting your cash flow, even though our successful track record speaks for itself. We provide thorough orthopedic medical billing services as well as streamlined procedures to assist you to spend less time and money on administrative tasks and more time on providing excellent patient care.

Contact the orthopedic billing staff at Coronis Health right away for a complimentary financial health assessment.

Be proactive in figuring out insurance verification and coverage, especially whether prior insurance authorizations are necessary, as there are numerous medical reimbursement rules. For Medicare, the patient must sign an Advanced Beneficiary Notice if the services are not covered (ABN). Processing medical bills can be challenging because several top commercial carriers, including United Health and the Blue Cross Group, have their own payment policies. Because of this, it's crucial for medical billing organizations to invest the necessary time in any necessary negotiations with commercial carriers.

The issues of orthopaedic coding are similar to those of other disciplines. In orthopaedics, coding denials can happen frequently and are frequently the result of inadequate documentation. It's best practise to code based on documentation rather than reimbursement because incomplete medical records might lead to problems. Numerous healthcare professionals forget to record important details, which can obstruct the orthopaedic billing process and lead to lost revenue opportunities. Many clinicians and internal teams struggle to keep up with the continuously changing payor requirements and medical coding standards. It is vital to hold regular educational events for providers as well as professional programmers and billers. More information regarding typical orthopaedic coding mistakes can be found here.


Coronis Health has qualified coders and experienced orthopaedic medical billing specialists who can ensure your clinic is prepared for ICD-10. To decrease denials and enhance your revenue cycle management, our professional coders utilise cutting-edge coding tools and carry out routine audit checks. When offering professional coding services, it is crucial to comprehend how to use standard CPT, ICD-CM diagnosis coding, and supply codes that adhere to CMS requirements.

Medical billing codes for orthopaedic treatments vary in accordance with standards outlined in the ICD-10-PCS, just like they do for other specialties. Medical billing professionals can bill the appropriate procedures to a patient's insurance provider using these particular codes, resulting in a more uniform system of billing and coding.

There are many different kinds of medical specialties that call for particular coding for billing, and even within some specialties, there may be various medical billing codes based on the treatment itself.

Medical billing services for orthopaedic surgeries differ depending on the kind of surgery being done. The musculoskeletal system, which consists of the bones, tendons, ligaments, and/or muscles, is the subject of orthopaedics in general. Depending on which branch of orthopaedics the procedure belongs to, the coding may change. For instance, a paediatric orthopaedic office that performs a variety of treatments will need different coding services than an orthopaedic firm that performs several procedures for adults.Managing the billing process accurately is not easy as providers might face hurdles in revenue cycle management. Moreover, Net Collection Rate below 95% shows that your practice is facing troubles in the billing process. To eliminate all these hurdles and maintain your NCR up to 96%, MedsIT Nexus Medical Coding Services are around the corner for you so that your practice does not have to face a loss.

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1 review
October 12, 2024
I think this book give you complicity about medical billing and coding. kindly read and review our article you will be able to understand basic knowledge of medical billing and coding on here https://reliablebs.blogspot.com/2024/... of course you will understand the basic of medical billing and start your carrier as a medical billing.
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6 reviews
October 28, 2025
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Profile Image for Teri.
31 reviews
January 9, 2022
Picked up this book because I work in a medical office and occasionally help check people in at the front desk. I have a better idea now of the basics. I didn't need any of the information regarding credentialing/jobs so I did skip sections for my needs.
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296 reviews8 followers
July 20, 2018
Very helpful. I'm will be going to school for this next month and wanted a pre-study book.
Profile Image for Claire.
798 reviews88 followers
Read
January 31, 2020
DNF because the author's publishing a book just like this one this year and it's currently on hold for me in my public library. Will be picking it up soon.
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126 reviews2 followers
January 28, 2021
Knowing nothing about the subject, I feel I know basics. A lot of material, but definitely explains what is necessary to do the job well.
Profile Image for Noah.
93 reviews6 followers
June 1, 2023
Good introduction for this prefession 🙂
9 reviews
February 4, 2024
Great Overview

This is a nice overview of coding and billing systems. Terms are clearly defined and many useful resources are provided.
607 reviews8 followers
May 20, 2016
Good entry level book on the subject.
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3 reviews
Currently reading
July 15, 2020
Not so much "reading" as skimming....after 20 +/- years in medicine it's time to brush up on the "whys" instead of just the "whats"...…...
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