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Insurance Handbook for the Medical Office - Elsevieron Vitalsource (ebook)

Autor:Marilyn Fordney;
Categoría:
ISBN: EB9781437722543
Saunders nos ofrece Insurance Handbook for the Medical Office - Elsevieron Vitalsource (ebook) en inglés, disponible en nuestra tienda desde el 01 de Noviembre del 2011.
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Argumento de Insurance Handbook for the Medical Office - Elsevieron Vitalsource (ebook)

  • Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments.
  • Block-by-block explanations and examples demonstrate the correct way to complete the CMS-1500 claim form.
  • Compliance Alerts and a HIPAA Compliance and Privacy in Insurance Billing chapter highlight important HIPAA compliance issues and ensure that you are aware of, and compliant with, governmental privacy regulations.
  • A guide to receiving payments and to insurance collection is provided in separate chapters.
  • A Medical Documentation chapter covers the principles of documentation and shows how proper documentation can prevent penalties and refund requests, and help you prove compliance in the case of an audit or review.
  • Guidelines for the filing and submission of electronic claims prepare you for the industry-wide transition to an electronic environment.
  • Unique! Color-coded icons clarify information, rules, and regulations for different payers.
  • Form icons andComputer icons ease the transition from paper to electronic filing.
  • Service to Patient features offer examples of quality customer service.
  • Seeking a Job chapter gives tips and techniques on securing that first job.
  • Key points summarize important chapter content.
  • Key terms are bolded at first mention, defined, and emphasized throughout.
  • A companion Evolve website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in.
  • A workbook contains learning tips, review questions, practice exercises for key terms and abbreviations, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately.
  • Updated coverage of medical coding, documentation, the EHR, Medicare, HIPAA, and workers' compensation ensures that you are current with all new guidelines and regulations.
0Unit One: Career Role and Responsibilities

1. Role of an Insurance Billing Specialist

2. HIPAA Compliance and Privacy in Insurance Billing

Unit Two: The Claims Process

3. Basics of Health Insurance

4. Medical Documentation

5. Diagnostic Coding

6. Procedural Coding

7. The Paper Claim: CMS-1500

8. Electronic Data Interchange: Transactions and Security

9. Receiving Payments and Insurance Problem Solving

10. Office and Insurance Collection Strategies

Unit Three: Health Care Payers

11. The Blue Plans, Private Insurance, and Managed Care Plans

12. Medicare

13. Medicaid and Other State Programs

14. TRICARE and CHAMPVA

15. Workers' Compensation

16. Disability Income Insurance and Disability Benefit Insurance

Unit Four: Inpatient and Outpatient Billing

17. Hospital Billing

Unit Five: Employment

18. Seeking a Job and Attaining Professional Advancement

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