Medical Insurance: An Integrated Claims Process Approach, 4/e
Joanne Valerius,
Oregon Health and Science University Nenna L. Bayes,
Ashland Community and Technical College Cynthia Newby,
Chestnut Hill Janet I.B. Seggern,
Lehigh Carbon Community College
ISBN: 0073402036 Copyright year: 2010
Table of Contents
PART 1 WORKING WITH MEDICAL INSURANCE AND BILLING
CHAPTER 1 INTRODUCTION TO THE MEDICAL BILLING PROCESS
CHAPTER 2 HIPAA AND MEDICAL RECORDS
CHAPTER 3 PATIENT ENCOUNTERS AND BILLING INFORMATION
PART 2 CLAIM CODING
CHAPTER 4 DIAGNOSTIC CODING: INTRODUCTION TO ICD-9-CM
CHAPTER 5 PROCEDURAL CODING: INTRODUCTION TO CPT
CHAPTER 6 PROCEDURAL CODING: INTRODUCTION TO HCPCS
PART 3 CLAIM PREPARATION
CHAPTER 7 VISIT CHARGES AND COMPLIANT BILLING
CHAPTER 8 HEALTH CARE CLAIM PREPARATION AND TRANSMISSION
PART 4 PAYERS
CHAPTER 9 PRIVATE PAYERS/BLUE CROSS AND BLUE SHIELD
CHAPTER 10 MEDICARE
CHAPTER 11 MEDICAID
CHAPTER 12 TRICARE AND CHAMPVA
CHAPTER 13 WORKERS' COMPENSATION AND DISABILITY
PART 5 PAYMENT PROCESSING
CHAPTER 14 PAYMENTS (RAs/EOBs), APPEALS, AND SECONDARY CLAIMS
CHAPTER 15 PATIENT BILLING AND COLLECTIONS
PART 6 HOSPITAL SERVICES
CHAPTER 16 HOSPITAL BILLING AND REIMBURSEMENT
PART 7 CLAIM CASE STUDIES
CHAPTER 17 PRIMARY CLAIM STUDIES
CHAPTER 18 RA/EOB/SECONDARY CASE STUDIES GUIDE TO MEDISOFT