Medical Insurance Made Easy: Understanding the Claim Cycle

Medical Insurance Made Easy: Understanding the Claim Cycle

Jill L. Brown Saunders Book Company 2nd Edition ISBN: 978-0-7216-0556-2
downloadable eBook price: $67.95
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This title is being sold in the downloadable VitalBook™ format.

This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement.

Table of Contents

  • Front Matter
  • Chapter 1 LEARNING TO SPEAK THE LANGUAGE
  • Chapter 2 YOU'RE PART OF A TEAM
  • Chapter 3 HOW THE MEDICAL CLAIM CYCLE WORKS
  • Chapter 4 CMS-1500 CLAIM FORM
  • Chapter 5 BASIC PRINCIPLES OF DIAGNOSIS CODING
  • Chapter 6 BASIC PRINCIPLES FOR EVALUATION AND MANAGEMENT (E/M) SERVICES
  • Chapter 7 BASIC PRINCIPLES OF PROCEDURE CODING
  • Chapter 8 PRIVATE INDEMNITY AND MANAGED CARE MEDICAL PLANS
  • Chapter 9 OTHER INSURANCE PLANS WITH MEDICAL COVERAGE AND DISABILITY PLANS
  • Chapter 10 MEDICARE
  • Chapter 11 OTHER GOVERNMENT MEDICAL PLANS
  • Chapter 12 HOSPITAL/FACILITY BILLING RULES
  • Chapter 13 REIMBURSEMENT SUCCESS
  • Chapter 14 DEVELOPING CRITICAL THINKING SKILLS: ANALYZING PROBLEMS AND MAKING DECISIONS
  • Appendixes
  • GLOSSARY

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