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Solution Manual for Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd Edition, Deborah Vines, Ann Braceland, Elizabeth Rollins, Susan Miller
Original price was: $35.00.$26.50Current price is: $26.50.
Solution Manual for Comprehensive Health Insurance: Billing, Coding, and Reimbursement, 3rd Edition, Deborah Vines, Ann Braceland, Elizabeth Rollins, Susan Miller,
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Product details:
- 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.
Table of Contents
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
SECTION IV: MEDICAL CLAIMS
10. Physician Medical Billing
11. Hospital Medical Billing
SECTION V: GOVERNMENT MEDICAL BILLING
12. Medicare Medical Billing
13. Medicaid Medical Billing
14. TRICARE Medical Billing
SECTION VI: ACCOUNTS RECEIVABLE
15. Explanation of Benefits and Payment Adjudication
16. Refunds, Follow-Up, and Appeals
SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM
17. Workers’ Compensation
Appendix A: Completing the CMS-1500 Form for Physician Outpatient Billing
Appendix B: Completing the CMS-1500 Form for Physician Outpatient Billing Plus Determining the Correct Diagnostic and Procedure Codes
Appendix C: Completing the UB-04 Form for Hospital Billing
Appendix D: Medical Forms
Appendix E: Acronyms and Abbreviations
Appendix F: Medical Terminology Word Parts
Appendix G: Helpful Websites
Glossary
Index
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