This edition incorporates new reimbursement concepts such as PQRI which is the Physician Quality Reporting Initiative that provides financial incentives for successfully reporting the designated set of quality measures.

This edition includes new reimbursement concepts such as RTCA which is Real Time Claims Adjudication capability offered to providers by major health plans that allows the providers to query the plan for the amount patients will owe and then ask patients for payment of their portion of planned visit bills at the time of service.

It also covers the new ICD-9-CM and CPT/HCPCS codes and for hospitals, the concept of "never events"--hospital acquired conditions that are not paid by federal/state insurances.

Includes optional applications for Medisoft Advanced Patient Billing Software, Version 14.

Updated to include the most current government and industry regulations for medical insurance.