Medical Insurance Billing and Coding - Elsevier eBook on VitalSource, 1st Edition
by Marilyn Fordney, CMA-AC and Linda L. French, CMA-C, NCICS, CPC
Elsevier eBook on VitalSource
ISBN:
9781416068242
Copyright:
2003
Publication Date:
08-23-2002
Page Count:
672
Imprint:
Saunders
List Price:
$69.99
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- Combined text and workbook format keeps the content self-contained and easy to manage.
- Full-color format allows readers to identify colors and icons with individual payers, helping them to easily follow and learn specific payer rules and procedures.
- An appendix of block-by-block coverage, with full-color examples of the HCFA-1500 insurance claim form, facilitates understanding and effective learning.
- Photographs, quotes, and short biographies of real insurance billing specialists appear in each chapter, offering real-world perspectives on insurance billing.
- A separate chapter on documentation in the medical office is devoted to this critical topic.
- Exercise sections within the text encourage readers to stop and recall or apply what they've learned to help master key concepts.
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Section I: Career and Professionalism
Chapter 1 A Career as an Insurance Billing Specialist
Section II: Basics of Health Insurance
Chapter 2 Fundamentals of Health Insurance Coverage
Chapter 3 Source Documents and the Insurance Claim Cycle
Section III: Coding Insurance Claims
Chapter 4 Coding Diagnoses
Chapter 5 Coding Procedures Part I: Introduction to Evaluation and Management Services
Chapter 6 Coding Procedures Part II: Anesthesia, Surgery, Radiology, Pathology/Laboratory, and Medicine
Section IV: Claim Submission
Chapter 7 Documentation and the Medical Record
Chapter 8 The Health Insurance Claim Form: Completion and Submission
Chapter 9 Fees: Private Insurance and Managed Care
Section V: Insurance Programs
Chapter 10 The Medicaid Program
Chapter 11 The Medicare Program
Chapter 12 The TRICARE and CHAMPVA Programs
Chapter 13 Workers' Compensation Coverage and other Disability Programs
Section VI: Receiving Payment and Problem Solving
Chapter 14 Patient Billing and Credit/Collection Practices
Chapter 15 Tracking Reimbursement and Simple Solutions to Unpaid Claims
Appendices
A College Clinic Medical Practice Simulation
B College Clinic Mock Fee Schedule
C Medicare's National HCPCS Level II Codes and Modifiers
D HCFA-1500 Claim Form Instructions and Insurance Templates
E Glossary
F College Clinic Form File
G Student Software Challenge Installation and Operating Instructions
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Marilyn Fordney, CMA-AC, Formerly, Instructor of Medical Insurance, Medical Terminology, Medical Machine Transcription, and Medical Office Procedures, Ventura College, Ventura, CA and Linda L. French, CMA-C, NCICS, CPC, Business Consultant and Instructor of Medical Insurance Procedures and Medical Terminology, Simi Valley Adult School and Career Institute, Simi Valley, CA; Ventura College, Ventura, CA; Oxnard College, Oxnard, CA