FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA

Overview

Main description

From Patient to Payment: Insurance Procedures for the Medical Office, provides a practical, focused overview of medical insurance and billing. Each chapter is structured to give students a hands-on, practical approach to understanding and working with claims, both paper and electronic, and the medical billing process. This text is precisely tailored for a brief introduction, as the fundamental understanding of coding and claim filing principles is the goal. Incorporated are the latest HIPAA forms and regulations, medical coding, and electronic claims in a clear and focused program. It equips students with the basics of preparing correct health care claims, and provides a brief introduction to Medisoft Patient Billing software V14 , which can be used to complete claims.

Table of contents

Chapter 1 From Patient to Payment: Becoming a Medical SpecialistChapter 2 HIPAA and the Legal Medical RecordChapter 3 Diagnostic CodingChapter 4 Procedural CodingChapter 5 Payment Methods: Managed Care and Indemnity PlansChapter 6 Health Care Claim PreparationChapter 7 Claim Transmission, RA/EOB Follow-up, and CollectionsChapter 8 Blue Cross and Blue ShieldChapter 9 MedicareChapter 10 MedicaidChapter 11 TRICARE and CHAMPVAChapter 12 Worker’s CompensationChapter 13 DisabilityChapter 14 Dental InsuranceChapter 15 Hospital InsuranceAppendix Health Care Claim Simulations Using MedisoftGlossaryIndex