Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd edition
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Comprehensive Health Insurance: Billing, Coding, and Reimbursement illustrates the key health insurance concepts needed in order to be workplace ready.
Published by Pearson (September 18th 2020) - Copyright © 2018
Subject: Medical Insurance, Billing and Coding
Category: Medical Billing
Table of contents
SECTION I: A CAREER IN HEALTH CARE
1. Introduction to Professional Billing and Coding Careers
SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER
2. Understanding Managed Care: Insurance Plans
3. Understanding Managed Care: Medical Contracts and Ethics
4. Introduction to the Health Insurance Portability and Accountability Act (HIPAA)
SECTION III: MEDICAL CODING
5. ICD-10-CM Medical Coding
6. Introduction to CPT and Place of Service Coding
7. Coding Procedures and Services
8. HCPCS and Coding Compliance
SECTION IV: MEDICAL CLAIMS
10. Physician Medical Billing
11. Hospital Medical Billing
SECTION V: GOVERNMENT MEDICAL BILLING
12. Medicare Medical Billing
13. Medicaid Medical Billing
14. TRICARE Medical Billing
SECTION VI: ACCOUNTS RECEIVABLE
15. Explanation of Benefits and Payment Adjudication
16. Refunds, Follow-Up, and Appeals
SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM
17. Workers' Compensation
Appendix A: Completing the CMS-1500 Form for Physician Outpatient Billing
Appendix B: Completing the CMS-1500 Form for Physician Outpatient Billing Plus Determining the Correct Diagnostic and Procedure Codes
Appendix C: Completing the UB-04 Form for Hospital Billing
Appendix D: Medical Forms
Appendix E: Acronyms and Abbreviations
Appendix F: Medical Terminology Word Parts
Appendix G: Helpful Websites
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