HIPAA and Medical Records Coverage: HIPAA and Medical Records are covered in a chapter that introduces documentation, Electronic Medical Records (EMR), HIPAA Privacy, Security, and Electronic Transactions and Code Sets. Throughout the text, HIPAA Tips reinforce this instruction.

Meets Instructor/Student Goals: The text is closely matched with the typical curriculum and goals of both instructors and students. It is tightly focused on important concepts and skills, omitting extraneous material. The coverage of procedural knowledge, communications skills, and health information management skills prepares students to successfully perform the duties of medical insurance specialists.

Extensive Review Activities: Thinking It Through critical thinking case studies follow every major section and give immediate reinforcement. End-of-chapter activities include review questions, case studies, and optional Internet activities.

Instructor's Manual includes all of the resources needed to effectively teach the course, including installation and troubleshooting of the software, teaching suggestions, correlations to AHIMA Coding Certification, SCANS, AAMA Role Delineation Areas of Competence, AMT/RMA, and NHCSS, and a resource guide. The Instructor’s Manual also includes an Instructor Productivity Center in CD-ROM format that provides test banks and PowerPoint slides. The Online Learning Center also has resources for the instructor.

The text-specific workbook provides both review and applications learned in the textbook. The workbook is learning outcomes-based. In addition to claim completion case studies, applications include math and communication skill development.

Medical Insurance provides clear, focused, and authoritative instruction on medical insurance and reimbursement. All types of medical insurance are covered, and examples present a realistic mix of managed care (HMO, PPO, and Consumer-Drive Health Plans) and fee-based plans. Both physician office/outpatient billing—using both the HIPAA 837 electronic claim and the new, mandated CMS-1500 (08/05) paper claim--and hospital billing (CMS-1450--UB-04) are taught. Billing Tips and Compliance Tips throughout the text highlight key points.

Coding Coverage: The program teaches basic medical coding and coding compliance, including a new chapter on HCPCS.