Medical Insurance: An Integrated Claims Process Approach, 3/e
Joanne Valerius Nenna Bayes Cynthia Newby
ISBN: 0073521914 Copyright year: 2008
What's New
NEW text subtitle, An Integrated Claims Process Approach, and the medical billing process illustration printed on the inside front cover for easy reference, together reflect the emphasis on the ten-step billing cycle that organizes the text presentation. Chapter 1 previews this medical billing process so that students understand the medical insurance specialist’s role in the logical flow from patient encounter, claim coding and preparation, to patient billing and collections that ensures maximum appropriate payment for the physician’s services. The process is then integrated into each subsequent chapter to enhance comprehension of the related tasks.
NEW Workbook to Accompany Medical Insurance: An Integrated Claims Process Approach has been created to reinforce, apply, and extend student knowledge of essential concepts. Each workbook chapter contains assisted outlining, objective questions covering key terms, critical thinking questions, guided web activities, and an Applying Concepts section to reinforce and extend abstracting insurance information, calculating insurance math, and using insurance terms.
NEW medical billing cycle is featured on the inside front cover of the text and follows a ten-step billing process that organizes topics for the student.
NEW worked-out examples and case studies in every chapter that build the basic skills of abstracting insurance information, calculating insurance math, and insurance communications.
NEW chapters “Payments (RAs/ROBs), Appeals, and Secondary Claims“ and “Patient Billing and Collections” include handling payers’ remittance advices, preparing secondary claims, laws regulating patient collections, the role of collection agencies, and handling uncollectible accounts in the medical office. Students understand the entire collections process of identifying overdue accounts, planning for follow-up, correctly communicating with patients over the telephone, creating collections letters, and monitoring the collections process.
Over fifty primary/secondary claim case studies can be completed using Medisoft™ Advanced Patient Accounting software available to adopters of the program.
NEW Lesson Plans in the Instructor's Manual integrate the text pedagogy, the supplied lecture and testing tools, and the new Workbook for Medical Insurance as well as the updated 2007- 2008 Coding Workbook for Medical Insurance. An Instructor Productivity CD-ROM contains chapter-by-chapter PowerPoint presentations and EZTest test generator. Questions from EZTest can be used with eInstruction's Classroom Performance System.
Online Learning Center includes Power Point® Slides, links to professional organizations, and HIPAA FAQs. Also provided for student review are games, flashcards, and additional questions.
To obtain an instructor login for this Online Learning Center, ask your local sales representative.
If you're an instructor thinking about adopting this textbook, request a free copy for review.
2008 McGraw-Hill Higher Education