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  5. Advanced Medical Billing and Coding: A Reimbursement Approach (2-downloads)

Guide to Advanced Medical Billing: A Reimbursement Approach, 3rd edition

  • Sharon Brown
  • Lori Tyler

Published by Pearson (March 1st 2013) - Copyright © 2014

3rd edition

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Advanced Medical Billing and Coding: A Reimbursement Approach (2-downloads)

ISBN-13: 9780133044645

Includes: Unassigned

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What's included

  • Unassigned

Overview

Table of contents

SECTION I: INTRODUCTION TO ISSUES RELATED TO HEALTH CLAIMS PROCESSING

1.      Introduction to Technical and Legal Issues

2.      Resource Manuals and Billing Forms

 

SECTION II: CONTRACT INTERPRETATION AND ADMINISTRATION

3.      Medical Plan Provisions

4.      Medical Benefit

 

SECTION III: MEDICAL CLAIMS EXAMINING GUIDELINES AND PROCEDURES

5.      Medical Claims Administration

6.      Physician's, Clinical, and Hospital Services Claims

7.      Surgery and Anesthesia Claims

8.      Medicare and Medicaid

9.      Workers' Compensation

10.  Managed Care Claims

 

SECTION IV: MANAGEMENT OF CLAIMS EXAMINING

11.  Claims Examination

12.  Processing Non-Medicare Claims

13.  Processing Medicare Claims

14.  Processing Workers' Compensation Claims

 

SECTION V: APPENDICES

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