Summary

This comprehensive reference provides an overview from a global perspective of the coding and reimbursement systems in relation to inpatient and ambulatory care (hospital based outpatient, ASC, and physician based) settings. Each chapter in the text focuses on key pieces of the health care puzzle including:
-- An overview of the current and future projections related to inpatient and ambulatory care environments, trends, and accreditation processes related to JCAHO, AAAHC, NCQA, and AMAP
-- A focus on similarities and differences of ICD-9-CM, HCPCS/CPT, and ICD-10-CM and ICD-10-PCS coding systems' format, rules, and uses
-- The medical record as the primary health information source document for coding and reimbursement, including standards related to computerized patient record and internal and external use of health care data
-- Government regulatory impact on coding and reimbursement including medical informatics and electronic health care standards, as well as fraud and abuse and compliance
-- Government based payment