Medical Insurance: An Integrated Claims Process Approach / Edition 3

Medical Insurance: An Integrated Claims Process Approach / Edition 3

by Joanne Valerius, Cynthia Newby, Nenna L. Bayes
     
 

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ISBN-10: 0073402109

ISBN-13: 9780073402109

Pub. Date: 03/02/2007

Publisher: McGraw-Hill Companies, The

The fourth edition of Medical Insurance: An Integrated Claims Process Approach is designed for medical insurance courses. The textbook provides medical assisting, medical insurance, and health information technology students with the knowledge and skills needed to successfully perform insurance and billing related duties.

The chapters’ organization

Overview

The fourth edition of Medical Insurance: An Integrated Claims Process Approach is designed for medical insurance courses. The textbook provides medical assisting, medical insurance, and health information technology students with the knowledge and skills needed to successfully perform insurance and billing related duties.

The chapters’ organization follows the medical billing process to enhance learning, moving from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. Every chapter has extensive illustrations, forms, and exercises to develop the required competencies as well as exercises to 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. New for this edition is a text-specific workbook which provides both review and applications of each textbook chapter.

Product Details

ISBN-13:
9780073402109
Publisher:
McGraw-Hill Companies, The
Publication date:
03/02/2007
Edition description:
Older Edition
Pages:
384
Product dimensions:
8.50(w) x 10.70(h) x 0.60(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

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