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Solution Manual for Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd Edition, Deborah Vines, Ann Braceland, Elizabeth Rollins, Susan Miller

Name: Solution Manual for Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd Edition, Deborah Vines, Ann Braceland, Elizabeth Rollins, Susan Miller
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Solution Manual for Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd Edition, Deborah Vines, Ann Braceland, Elizabeth Rollins, Susan Miller,

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ISBN-10 ‏ : ‎ 9780134699813
ISBN-13 ‏ : ‎ 978-0134699813
Author: Deborah Vines; Ann Braceland

Comprehensive Health Insurance: Billing, Coding, and Reimbursement provides readers with the knowledge and skills needed to work in a variety of administrative positions in the medical field. It covers the foundations of insurance, billing, coding, and reimbursement, offering a comprehensive view of how each element in the process affects all other steps. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier’s decision. Numerous case studies and patient files are included throughout to demonstrate refunds and appeals, auditing, and compliance, Medicare calculations, and professionalism. The Third Edition includes 2017 ICD-10, CPT, and HCPCS codes; information about the ramifications of the Affordable Care Act; and current information on health care changes, trends, and the future of health care.

SECTION I: A CAREER IN HEALTH CARE

1. Introduction to Professional Billing and Coding Careers

SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER

2. Understanding Managed Care: Insurance Plans

3. Understanding Managed Care: Medical Contracts and Ethics

4. Introduction to the Health Insurance Portability and Accountability Act (HIPAA)

SECTION III: MEDICAL CODING

5. ICD-10-CM Medical Coding

6. Introduction to CPT and Place of Service Coding

7. Coding Procedures and Services

8. HCPCS and Coding Compliance

9. Auditing