Insurance Handbook for the Medical Office
W B Saunders Co Ltd (Verlag)
978-0-7216-6987-8 (ISBN)
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A source of information for submitting, tracing, appealing and transmitting claims for the full range of health plans. Sample forms are used to demonstrate how to properly complete forms for Medicare, Medicaid, CHAMPUS, Blue Cross/Blue Shield, worker's compensation and disability income insurance. The text places special emphasis on procedural and diagnostic coding and illustrates correct and incorrect CPT codes and appropriate versus inappropriate documentation. It also incorporates learning aids throughout, including anatomic illustrations that emphasize important sections of anatomy and terminology, key terms, objectives, headings and subheadings.
Part 1 Career role and responsibilities: a career as an insurance billing specialist; legal issues affecting insurance claims. Part 2 The claims process: basics of health insurance; procedural coding; diagnostic coding; the health insurance claim form; electronic data interchange (EDI); tracing delinquent claims and insurance problem solving. Part 3 Health care payers: managed care systems and special plans; blue cross and blue shield plans; Medicaid and other state programmes; Medicare; CHAMPUS and CHAMPVA; workers' compensation; disability income insurance and disability benefit programs; hospital billing. Part 4 Employment: seeking a position as an insurance billing specialist. Appendices: addresses for submitting claims and other information; reference list of audiotapes, books, newsletters, periodicals, software and videotapes; Medi-cal module.
| Zusatzinfo | 204 illustrations, glossary |
|---|---|
| Verlagsort | London |
| Sprache | englisch |
| Maße | 212 x 275 mm |
| Gewicht | 1262 g |
| Themenwelt | Medizin / Pharmazie ► Pflege |
| Betriebswirtschaft / Management ► Spezielle Betriebswirtschaftslehre ► Versicherungsbetriebslehre | |
| ISBN-10 | 0-7216-6987-5 / 0721669875 |
| ISBN-13 | 978-0-7216-6987-8 / 9780721669878 |
| Zustand | Neuware |
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