Medical Insurance: An Integrated Claims Process Approach / Edition 5

Medical Insurance: An Integrated Claims Process Approach / Edition 5

3.0 1
by Joanne Valerius, Nenna Bayes, Cynthia Newby, Janet Seggern
     
 

View All Available Formats & Editions

ISBN-10: 0073374911

ISBN-13: 9780073374918

Pub. Date: 01/14/2011

Publisher: McGraw-Hill Higher Education

Medical Insurance 5e provides students with the knowledge and skills needed to successfully perform insurance and billing related duties. Following the medical billing process, instruction moves from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. It has extensive illustrations, forms, and exercises to develop

Overview

Medical Insurance 5e provides students with the knowledge and skills needed to successfully perform insurance and billing related duties. Following the medical billing process, instruction moves from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. It has extensive illustrations, forms, and exercises to develop required competencies. Exercises improve underlying essential math and communications skills. This text also provides a fundamental understanding of diagnostic and procedural coding needed to submit claims in compliance with payers’ requirements.

Product Details

ISBN-13:
9780073374918
Publisher:
McGraw-Hill Higher Education
Publication date:
01/14/2011
Edition description:
Net
Pages:
800
Product dimensions:
8.50(w) x 10.90(h) x 1.00(d)

Table of Contents

PART 1 WORKING WITH MEDICAL INSURANCE AND BILLING

CHAPTER 1 INTRODUCTION TO THE MEDICAL BILLING PROCESS

CHAPTER 2 HIPAA AND MEDICAL RECORDS

CHAPTER 3 PATIENT ENCOUNTERS AND BILLING INFORMATION
PART 2 CLAIM CODING

CHAPTER 4 DIAGNOSTIC CODING: INTRODUCTION TO ICD-9-CM

CHAPTER 5 PROCEDURAL CODING: INTRODUCTION TO CPT

CHAPTER 6 PROCEDURAL CODING: INTRODUCTION TO HCPCS
PART 3 CLAIM PREPARATION

CHAPTER 7 VISIT CHARGES AND COMPLIANT BILLING

CHAPTER 8 HEALTH CARE CLAIM PREPARATION AND TRANSMISSION
PART 4 PAYERS

CHAPTER 9 PRIVATE PAYERS/BLUE CROSS AND BLUE SHIELD

CHAPTER 10 MEDICARE

CHAPTER 11 MEDICAID

CHAPTER 12 TRICARE AND CHAMPVA

CHAPTER 13 WORKERS'COMPENSATION AND DISABILITY
PART 5 PAYMENT PROCESSING

CHAPTER 14 PAYMENTS (RAs/EOBs), APPEALS, AND SECONDARY CLAIMS

CHAPTER 15 PATIENT BILLING AND COLLECTIONS
PART 6 HOSPITAL SERVICES

CHAPTER 16 HOSPITAL BILLING AND REIMBURSEMENT
PART 7 CLAIM CASE STUDIES

CHAPTER 17 PRIMARY CLAIM CASES

CHAPTER 18 EOB/RA/SECONDARY CLAIM CASESGUIDE TO MEDISOFT

Appendix A Medical Billing and Coding Careers

Appendix B Place of Service Codes

Appendix C Medical Specialities and Taxonomy Codes

Appendix D Professional Web Sites

Appendix E Forms

Appendix F HIPAA FAQs
ABBREVIATIONS
GLOSSARY
INDEX

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >