Medical Insurance for Pharmacy Technicians / Edition 1

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Medical Insurance for Pharmacy Technicians provides a practical, focused overview of medical insurance and billing of prescriptions in the community pharmacy setting. Each chapter is structured to give students a hands-on, practical approach to understanding and working with prescription charges and the billing process. This text is precisely tailored for a brief introduction to the fundamental understanding of claim processing principles for pharmacy technicians.

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Product Details

  • ISBN-13: 9780073374161
  • Publisher: McGraw-Hill Higher Education
  • Publication date: 2/19/2009
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 192
  • Sales rank: 784,565
  • Product dimensions: 8.40 (w) x 10.70 (h) x 0.40 (d)

Table of Contents

Chapter 1: From Prescription to Payment: Becoming a Pharmacy Technician Insurance SpecialistThe Importance of Pharmacy BenefitsMedical Insurance BasicsThe Pharmacy Practice Billing CycleProcedures, Communication, and Information Technology in the Pharmacy Billing CycleEffects of Pharmacy Claim ErrorsChapter 2: Medicolegal Issues and the PharmacyHealth Care Regulation Pharmacy RecordsHIPAA Privacy RuleHIPAA Security Rule HIPAA Electronic Health Care Transactions and Code SetsOther Legislation Affecting PharmacyFraud and Abuse RegulationsPharmacy Question and AnswersChapter 3: Private Insurance Payers and PlansPrivate InsuranceTypes of Health PlansPharmacy Plan Benefits Pharmacy Benefit Management TechniquesCalculating ChargesChapter 4: MedicareMedicare OverviewMedicare Part B PlansWho Pays First? Medicare Part DChapter 5: Medicaid, TRICARE, CHAMPVA, Workers’ Compensation, and Discount Card ProgramsMedicaidTRICARE and CHAMPVAWorkers’ CompensationDiscount Card ProgramsChapter 6: Claim Preparation and TransmissionPricing PrescriptionsCreating ClaimsTransmitting ClaimsCoordination of BenefitsChapter 7: Processing Claims and Appealing DecisionsPayer Adjudication of ClaimsCollecting Patient Point-Of-Sale PaymentPharmacy Processing of Payer Claim PaymentBalancing Transactions Appealing and Resubmitting Claims Insurer/PBM audits

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted May 6, 2009

    r stevens gonzales la

    i am already a pharmacy technician . i purchased the book to stay up to date. I find them very useful.

    Was this review helpful? Yes  No   Report this review
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