Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd edition

  • Deborah Vines, 
  • Ann Braceland, 
  • Elizabeth Rollins, 
  • Susan Miller

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Overview

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

ISBN-13: 9780136873716

Subject: Massage Therapy

Category: Comprehensive Health Insurance: Billing, Coding, and Reimbursement

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
9. Auditing

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
Glossary
Index

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