Guide to Health Claims Examining: An Honors Certification Textbook / Edition 2

Guide to Health Claims Examining: An Honors Certification Textbook / Edition 2

by ICDC Publishing Inc
     
 

Health claims examining and medical billing are two of the fastest-growing employment opportunities in the United States today. Insurance companies, medical offices, hospitals and other health care providers are in great need of trained personnel to create and process claims. With the aid of this text, a student can learn the skills necessary to become a successful… See more details below

Overview

Health claims examining and medical billing are two of the fastest-growing employment opportunities in the United States today. Insurance companies, medical offices, hospitals and other health care providers are in great need of trained personnel to create and process claims. With the aid of this text, a student can learn the skills necessary to become a successful health claims examiner. The material has been designed to be comprehensive, yet user-friendly. The text follows a logical learning format by beginning with a broad base of information and then, step by step, following the course of a health claims from billing to examining.

Product Details

ISBN-13:
9780132194082
Publisher:
Prentice Hall
Publication date:
10/25/2006
Edition description:
Older Edition
Pages:
250
Product dimensions:
8.50(w) x 10.80(h) x 1.20(d)

Table of Contents

(NOTE: Each chapter contains Summary, Assignments, Questions for Review, and Honors for Certification.)

1. Introduction to Insurance.

2. Legal Issues.

3. Billing Forms.

4. Resource Manuals.

5. Contracts.

6. Eligibility.

7. Usual, Customary, and Reasonable.

8. Benefit Structures.

9. Cost-Containment Programs.

10. General Plan Provisions.

11. Claims Administration.

12. Effective Communication.

13. Physician’s Services.

14. X-ray and Laboratory.

15. Surgery.

16. Podiatric Surgery.

17. Anesthesia.

18. Hospital Services.

19. Ambulance Expenses.

20. Durable Medical Equipment.

21. Managed Care.

22. Coordination of Benefits.

23. Medicare.

24. Medicaid.

25. Workers’ Compensation.

26. Adjustments.

27. Dental Terminology.

28. Anatomy and Physiology of the Mouth.

29. Dental Services and Coding.

30. Temporomandibular Joint.

31. Dental Claim Form.

32. Dental Benefit Structures.

33. Processing Dental Claims.

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