A Guide to Health Insurance Billing takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material.
An introduction to the new coding systems, ICD-10.
ICD-9-CM and CPT coding systems are explained using the most current information
Health insurance simulation and coding exercises put users in a realistic insurance billing environment
Managed care and its impact on health insurance billing is covered in a special chapter
Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding
Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission
(KEYWORDS: insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance)
|Publisher:||Delmar Cengage Learning|
|Product dimensions:||6.00(w) x 1.25(h) x 9.00(d)|
About the Author
In a career encompassing 25 years of experience in health information management, Marie A. Moisio, M.A., RHIA, taught medical billing, medical coding, and health information processing for more than 15 years, in addition to serving as director of health information departments in a 400-bed regional medical center and a 450-bed regional psychiatric treatment facility. Her professional experience also includes service as a consultant for several long-term care facilities and physician offices, as well as positions in health information management, compliance, coding practices, insurance claim auditing, and patient record documentation. Moisio has taught numerous workshops covering legal aspects of health information management and documentation, and she is the author of notable texts on medical terminology and coding.
Table of ContentsChapter One: The Insurance Billing Specialist. Chapter Two: Legal Aspects of Insurance Billing. Chapter Three: Introduction to Health Insurance. Chapter Four: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Chapter Five: Internatianal Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10). Chapter Six: Current Procedural Terminology (CPT) and Health Care Financing. Administration Common Procedure Coding System (HCPCS) Coding. Chapter Seven: Developing An Insurance Claim. Chapter Eight: Common HCFA-1500 Completion Guidelines. Chapter Nine: Electronic Data Interchange (EDI). Chapter Ten: Managed Care. Chapter Eleven: Blue Cross/Blue Shield. Chapter Twelve: Medicare
Chapter Thirteen: Medicaid. Chapter Fourteen: TRICARE and CHAMPVA. Chapter Fifteen: Worker's Compensation