Insurance Handbook for the Medical Office
Saunders (Verlag)
978-1-4557-3325-5 (ISBN)
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A complete guide to the latest in insurance billing and coding, Insurance Handbook for the Medical Office, 12th Edition covers all the plans that are most commonly encountered in clinics and physicians' offices. An emphasis on the role of the medical insurance specialist prepares you for success in the workplace, including areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. Learning to fill in the claim form accurately is made easier by the use of icons for different types of payers, lists of key abbreviations, and numerous practice exercises. Written by insurance billing expert Marilyn Fordney, this comprehensive, market-leading resource has been trusted for more than 30 years.
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.
Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology.
Detailed tables, boxes, and illustrations call out key points and main ideas.
Unique! Color-coded icons clarify information, rules, and regulations for different payers.
An Evolve companion 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, practice exercises for key terms and abbreviations, review questions, 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 key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013.
Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date.
Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form.
Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office.
Unit 1: Career Roles and Responsibilities
1. Role of an Insurance Billing Specialist
2. Compliance, Privacy, Fraud, and Abuse in Insurance Billing
Unit 2: The Claims Process
3. Basics of Health Insurance
4. Medical Documentation and the Electronic Health Record
5. Diagnostic Coding
6. Procedural Coding
7. The Paper Claim CMS-1500 (02-12)
8. The Electronic Claim
9. Receiving Payments and Insurance Problem-Solving
10. Office and Insurance Collection Strategies
Unit 3: Health Care Payers
11. The Blue Plans, Private Insurance, and Managed Care Plans
12. Medicare
13. Medicaid and Other State Programs
14. TRICARE and Veterans' Health Care
15. Workers' Compensation
16. Disability Income Insurance and Disability Benefit Programs
Unit 4: Inpatient and Outpatient Billing
17. Hospital Billing
Unit 5: Employment
18. Seeking a Job and Attaining Professional Advancement
Glossary
Key Abbreviations
| Erscheint lt. Verlag | 6.11.2013 |
|---|---|
| Zusatzinfo | Approx. 380 illustrations (220 in full color) |
| Verlagsort | Philadelphia |
| Sprache | englisch |
| Maße | 216 x 276 mm |
| Themenwelt | Medizin / Pharmazie ► Gesundheitswesen |
| ISBN-10 | 1-4557-3325-3 / 1455733253 |
| ISBN-13 | 978-1-4557-3325-5 / 9781455733255 |
| Zustand | Neuware |
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