BN.com Gift Guide

The Practice of Health Claims Examining / Edition 2

Paperback (Print)
Buy New
Buy New from BN.com
$63.00
Buy Used
Buy Used from BN.com
$50.22
(Save 30%)
Item is in good condition but packaging may have signs of shelf wear/aging or torn packaging.
Condition: Used – Good details
Used and New from Other Sellers
Used and New from Other Sellers
from $1.99
Usually ships in 1-2 business days
(Save 97%)
Other sellers (Paperback)
  • All (21) from $1.99   
  • New (7) from $57.56   
  • Used (14) from $1.99   

More About This Textbook

Overview

Formally known as Exercises in Health Claims Examining, The Practice of Health Claims Examining, 2e, contains a simulated work program to help you experience the real life situations that a claims examiner experiences on a daily basis. This book is created for use in conjunction with ICDC Publishing's Guide to Health Claims Examining. Some of the exercises in the simulated work portion of the book are based upon concepts learned in the Guide to Health Claims Examining (i.e., procedures for processing claims, interpretation of contracts, understanding UCR and deductibles, etc.). The simulated work portion of this book incorporates concepts which are not taught by simple data entry, for example UCR calculations, privacy guidelines, client record keeping, correspondence, and manual completion of claims processing. Trainees that have taken a complete health claims examining course. Health Information Management Professionals.
Read More Show Less

Product Details

  • ISBN-13: 9780132193894
  • Publisher: Prentice Hall
  • Publication date: 8/1/2005
  • Series: Real Life Bks.
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 300
  • Product dimensions: 8.50 (w) x 10.80 (h) x 0.90 (d)

Table of Contents

Table Of Contents

Section 1. Introduction

Let’s Begin

Setting Up Your Desk

Family Files

Section 2. Simulated Work Program

About the Claims 5

Day 1 — April 1, CCYY

Day 2 — April 2, CCYY

Day 3 — April 3, CCYY

Day 4 — April 4, CCYY

Day 5 — April 5, CCYY

Section 3. Documents

Document 1 — Confidential Disclosure Agreement

Document 2 — Time Sheet

Document 3 — Ball Insurance Carriers Contract

Document 4 — Rover Insurers Inc. Contract

Document 5 — Winter Insurance Corporation Contract

Document 6 — Summer Insurance Company Contract

Document 7 — Assistant Surgeon’s List

Document 8 — Eligibility Information Sheet (Dunnitt, D. Jobb)

Document 9 — Eligibility Information Sheet (Poole, Gene)

Document 10 — Eligibility Roster /Ball Insurance Carriers (January)

Document 11 — Eligibility Roster/Ball Insurance Carriers (February)

Document 12 — Eligibility Information Sheet (Allity, Ray)

Document 13 — Eligibility Roster/Winter Insurance Carriers (March)

Document 14 — Eligibility Information Sheet (Waite, Hugh)

Document 15 — Eligibility Roster/Winter Insurance Carriers (January)

Document 16 — Relative Value Study

Document 17 — Eligibility Information Sheet (O’Gen, Pat N.)

Document 18 — Eligibility Roster/Rover Insurers, Inc. (January)

Document 19 — Eligibility Information Sheet (Pendent, Codie)

Document 20 — Network Provider Listing/Rover Insurers, Inc. (February)

Document 21 — Eligibility Information Sheet (Attricks, Sherry)

Document 22 — Eligibility Roster/Rover Insurers, Inc. (March)

Document 23 — Eligibility Roster/Winter Insurance Carriers (February)

Document 24 — Eligibility Information Sheet (Knose, Al Weighs)

Document 25 — Beginning Financials

Document 26 — Eligibility Information Sheet (Theroad, Kent C.)

Document 27 — Network Provider Listing/Rover Insurers, Inc. (January)

Document 28 — Eligibility Information Sheet (Cupp, Hick)

Document 29 — Eligibility Roster/Rover Insurers, Inc. (February)

Document 30 — Eligibility Information Sheet (Early, Brighton)

Document 31 — UCR Conversion Factor Report Medical

Document 32 — Eligibility Information Sheet (Fever, Cab N.)

Document 33 — Eligibility Information Sheet (Hart, Shay Kee)

Document 34 — Eligibility Roster/Ball Insurance Carriers (March)

Document 35 — Eligibility Information Sheet (Fraide, B.A.)

Document 36 — Network Provider Listing/Rover Insurers, Inc. (March)

Document 37 — CMS-1500: O’Gen, Ox

Document 38 — CMS-1500: Attricks, Petey

Document 39 — CMS-1500: Attricks, Petey

Document 40 — CMS-1500: Pendent, Dee

Document 41 — CMS-1500: Dunnitt, D. Jobb

Document 42 — Revised Eligibility Roster /Winter Insurance Carriers (January)

Document 43 — Revised Eligibility Roster /Ball Insurance Carriers (January)

Document 44 — Ball Insurance Carriers: Memo

Document 45 — CMS-1500: Allity, Mort

Document 46 — CMS-1500: Poole, Carla

Document 47 — CMS-1500: Knose, Ima

Document 48 — CMS-1500: Knose, Ron E.

Document 49 — CMS-1500: Poole, Gene

Document 50 — Note from Mr. B. Lawg

Document 51 — Family Benefits Tracking Sheet

Document 52 — CMS-1500: Pendent, Dee

Document 53 — CMS-1500: Theroad, Kent C.

Document 54 — CMS-1500: Tired, Barry

Document 55 — CMS-1500: Dunnitt, V. Iris

Document 56 — CMS-1500: Fever, Ty Phoid

Document 57 — CMS-1500: Pendent, Codie

Document 58 — CMS-1500: Akenja-Nearing, Jeanette

Document 59 — CMS-1500: Knose, Ron E.

Document 60 — CMS-1500: Allity, Mort

Document 61 — CMS-1500: Poole, Carla

Document 62 — Eligibility Information Sheet (Cupp, Phillip D.)

Document 63 — CMS-1500: Attricks, Sherry

Document 64 — CMS-1500: Dunnitt, Candy

Document 65 — CMS-1500: Attricks, Petey

Document 66 — CMS-1500: Pendent, Andy

Document 67 — CMS-1500: Pendent, Codie

Document 68 — CMS-1500: Dunnitt, D. Jobb

Document 69 — CMS-1500: Pendent, Dee

Document 70 — CMS-1500: Dunnitt, D. Jobb

Document 71 — CMS-1500: Waite, Hugh

Document 72 — CMS-1500: O’Gen, Cass N.

Document 73 — Note: Incorrect Payment Worksheets

Document 74 — Payment Worksheet: Chance, Luke E.

Document 75 — Payment Worksheet: Chance, Luke E.

Document 76 — Coordination of Benefits: Chance, Luke E.

Document 77 — Medicare Remittance Notice

Document 78 — CMS-1500: Cupp, Phillip D.

Document 79 — CMS-1500: Hart, Shay Kee

Document 80 — CMS-1500: Hart, Brooke N.

Document 81 — CMS-1500: Hart, Brooke N.

Document 82 — CMS-1500: Waite, Hugh

Document 83 — CMS-1500: Knose, Ron E.

Document 84 — CMS-1500: O’Gen, Cass N.

Document 85 — CMS-1500: Allity, Rhea

Document 86 — CMS-1500: Waite, P. Lisa

Document 87 — Memo: Winter Insurance Company

Document 88 — Memo: Rover Insurers, Inc.

Document 89 — CMS-1500: Attricks, Petey

Document 90 — CMS-1500: Attricks, Sherry

Document 91 — CMS-1500: Allity, Rhea

Document 92 — CMS-1500: Waite, P. Lisa

Document 93 — CMS-1500: Akenja-Nearing, Jeanette

Document 94 — CMS-1500: O’Gen, Cass N.

Document 95 — CMS-1500: Fore-Theroad, Juana

Document 96 — CMS-1500: Theroad, Kent C.

Document 97 — CMS-1500: Theroad, Ian N.

Document 98 — CMS-1500: Theroad, Ian N.

Document 99 — CMS-1500: Fore-Theroad, Juana

Document 100 — CMS-1500: Theroad, Donette

Document 101 — CMS-1500: Pendent, Dee

Document 102 — CMS-1500: Poole, Wade N.

Document 103 — CMS-1500: Knose, Beane Andy

Document 104 — Letter from Mr. I Will Wright

Document 105 — CMS-1500: Theroad, Ian N.

Document 106 — CMS-1500: Theroad, Ian N.

Document 107 — CMS-1500: Waite, Hugh

Document 108 — CMS-1500: Fore-Theroad, Juana

Document 109 — CMS-1500: Fore-Theroad Juana

Document 110 — UB-92: Pendent, Codie

Document 111 — UB-92: Allity, Rhea

Document 112 — UB-92: Attricks, Sherry

Document 113 — UB-92: Akenja-Nearing, Jeanette

Document 114 — UB-92: Poole, Wade N.

Document 115 — UB-92: Poole, Gene

Document 116 — UB-92: Allity, Mort

Document 117 — CMS-1500: Dunnitt, D. I.

Document 118 — CMS-1500: Dunnitt, D. I.

Document 119 — CMS-1500: Fraide, Jose

Document 120 — CMS-1500: Poole, Carla

Document 121 — CMS-1500: Theroad, Ian N.

Document 122 — CMS-1500: Pendent, Codie

Document 123 — CMS-1500: Theroad, Ian N.

Document 124 — Dental Claim Form: Early, Brighton

Document 125 — Dental Claim Form: O’Gen, Cass N.

Document 126 — Dental Claim Form: Poole, Carla

Document 127 — Dental Claim Form: Waite, Ova

Document 128 — Dental Claim Form: Attricks, Sherry

Document 129 — Dental Claim Form: Poole, Gene

Document 130 — Dental Claim Form: Attricks, Petey

Document 131 — CMS-1500: Theroad, Ian N.

Document 132 — CMS-1500: Theroad, Ian N.

Document 133 — CMS-1500: Waite, Hugh

Document 134 — CMS-1500: Fore-Theroad, Juana

Document 135 — CMS-1500: Fore-Theroad, Juana

Document 136 — CMS-1500: Fore-Theroad, Juana

Document 137 — CMS-1500: Waite, P. Lisa

Document 138 — CMS-1500: Attricks, Petey

Document 139 — Medicare Remittance Notice

Document 140 — CMS-1500: Harps, Evan Lee

Document 141 — CMS-1500: Cupp, Phillip D.

Document 142 — CMS-1500: Fraide, Jose

Document 143 — CMS-1500: Attricks, Sherry

Document 144 — CMS-1500: O’Gen, Cass N.

Document 145 — CMS-1500: Theroad, Ian N.

Document 146 — CMS-1500: Akenja-Nearing, Jeanette

Document 147 — CMS-1500: Theraod, Ian N.

Document 148 — CMS-1500: Waite, Hugh

Document 149 — Dental Claim Form: Dunnitt, Candy

Document 150 — Dental Claim Form: Dunnit, D. I.

Document 151 — Dental Claim Form: Waite, Hugh

Document 152 — Dental Claim Form: Akenja-Nearing, Jeanette

Document 153 — Dental Claim Form: Poole, Carla

Document 154 — Dental Claim Form: Attricks, Petey

Document 155 — Dental Claim Form: Attricks, Sherry

Document 156 — Dental Claim Form: O’Gen, Cass N.

Document 157 — CMS-1500: Dunnitt, D. I.

Document 158 — CMS-1500: Waite, P. Lisa

Document 159 — CMS-1500: Theroad, Ian N.

Document 160 — CMS-1500: Poole, Carla

Document 161 — CMS-1500: Fore-Theroad, Juana

Document 162 — CMS-1500: Fore-Theroad, Juana

Document 163 — CMS-1500: O’Gen, Cass N.

Document 164 — CMS-1500: Fraide, Jose

Document 165 — CMS-1500: Fore-Theroad, Juana

Document 166 — CMS-1500: Theroad, Kent C.

Document 167 — CMS-1500: Theroad, Ian N.

Document 168 — CMS-1500: Theraod, Ian N.

Document 169 — CMS-1500: O’Gen, Pat N.

Document 170 — CMS-1500: Waite, Ova

Document 171 — CMS-1500: Attricks, Sherry

Document 172 — CMS-1500: Fever, Scarlet

Document 173 — CMS-1500: Fever, Scarlet

Document 174 — CMS-1500: Fraide, Jose

Document 175 — CMS-1500: Fraide, Jose

Document 176 — CMS-1500: Fraide, Jose

Document 177 — UB-92: Hart, Brooke N.

Document 178 — UB-92: Attricks, Petey

Document 179 — UB-92: Waite, P. Lisa

Document 180 — UB-92: O’Gen, Cass N.

Document 181 — UB-92: Fore-Theroad, Juana

Document 182 — UB-92: Theroad, Kent C.

Document 183 — UB-92: Theroad, Ian N.

Document 184 — UB-92: Waite, Hugh

Document 185 — UB-92: Fever, Scarlet

Document 186 — CMS-1500: Dunnitt, Candy

Document 187 — CMS-1500: Dunnitt, D. Jobb

Document 188 — CMS-1500: Poole, Wade N.

Document 189 — CMS-1500: Waite, P. Lisa

Document 190 — CMS-1500: Knose, Beane Andy

Document 191 — Medicare Remittance Notice

Document 192 — CMS-1500: Cupp, Hick

Document 193 — CMS-1500: Cupp, Phillip D.

Document 194 — CMS-1500: Hart, Shay Kee

Document 195 — CMS-1500: Cupp, Phillip D.

Document 196 — CMS-1500: Cupp, Phillip D.

Document 197 — CMS-1500: Dunnitt, Candy

Document 198 — CMS-1500: Dunnitt, D. Jobb

Document 199 — CMS-1500: Theroad, Kent C.

Document 200 — CMS-1500: Theroad, Donette

Document 201 — CMS-1500: Fore-Theroad, Juana

Document 202 — CMS-1500: Theraod, Ian N.

Section 4. Forms

Payment Worksheet

Inventory/Production Sheet

Authorization for Treatment Form

Payment Demand Letter

TPL Possible Further Information Request

Right of Reimbursement Claims Form

TPL Investigation Questionnaire

Third Party Liability Reimbursement Agreement

Preexisting Condition Form

Telephone Information Sheet

Claim Office Referral Sheet

Coordination of Benefits Calculation Worksheet

Request for Additional Information Form

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)