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Medical Insurance An Integrated Claims Process

Medical Insurance  An Integrated Claims Process PDF

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Author: Joanne Valerius
Publisher: McGraw-Hill Higher Education
ISBN: 0077520564
Size: 71.46 MB
Format: PDF, ePub
Category : Medical
Languages : en
Pages :
View: 3041

Book Description: The sixth edition of Medical Insurance: An Integrated Claims Process Approach emphasizes the medical billing cycleËten steps that clearly identify all the components needed to successfully manage the medical insurance claims process. The cycle shows how administrative medical professionals Ëfollow the money.Ë Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation, which then ensures that offices receive maximum, appropriate reimbursement for services provided. Each part of the book is dedicated to a section of the cycle followed by case studies to apply the skills discussed in each section. These case studies can be completed with the electronic CMS-1500 at www.mhhe.com/valerius6e or using simulated Medisoft exercises in Connect Plus, McGraw-Hill's homework and assessment platform.


Medical Insurance An Integrated Claims Process Approach

Medical Insurance  An Integrated Claims Process Approach PDF

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Author: Joanne Valerius
Publisher: McGraw-Hill Science/Engineering/Math
ISBN: 9780073374918
Size: 27.87 MB
Format: PDF, ePub, Docs
Category : Medical
Languages : en
Pages : 800
View: 7633

Book Description: Medical Insurance 5e provides students with the knowledge and skills needed to successfully perform insurance and billing related duties. Following the medical billing process, instruction moves from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. It has extensive illustrations, forms, and exercises to develop required competencies. Exercises improve underlying essential math and communications skills. This text also provides a fundamental understanding of diagnostic and procedural coding needed to submit claims in compliance with payers’ requirements.


Medical Insurance An Integrated Claims Process Approach

Medical Insurance  An Integrated Claims Process Approach PDF

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Author: Joanne Valerius
Publisher: Career Education
ISBN: 9780073402031
Size: 33.17 MB
Format: PDF
Category : Medical
Languages : en
Pages : 704
View: 4801

Book Description: The fourth edition of Medical Insurance: An Integrated Claims Process Approach is designed for medical insurance courses. The textbook provides medical assisting, medical insurance, and health information technology students with the knowledge and skills needed to successfully perform insurance and billing related duties. The chapters’ organization follows the medical billing process to enhance learning, moving from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. Every chapter has extensive illustrations, forms, and exercises to develop the required competencies as well as exercises to improve underlying essential math and communications skills. This text also provides a fundamental understanding of diagnostic and procedural coding needed to submit claims in compliance with payers’ requirements. New for this edition is a text-specific workbook which provides both review and applications of each textbook chapter.


Workbook For Use With Medical Insurance

Workbook for Use with Medical Insurance PDF

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Author: Joanne Valerius
Publisher: McGraw-Hill Higher Education
ISBN: 0077520602
Size: 61.30 MB
Format: PDF, Docs
Category : Medical
Languages : en
Pages :
View: 914

Book Description: The Workbook for use with Medical Insurance, 6e, is intended to strengthen, reinforce, and expand student learning of the skills and concepts presented in the text. This workbook complements the text and follows the same learning outcomes as Medical Insurance, 6e. The workbook has been updated to reflect the changes in the main text.


Making The Move To Rda

Making the Move to RDA PDF

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Author: Chamya Pompey Kincy
Publisher: Rowman & Littlefield
ISBN: 0810887703
Size: 61.13 MB
Format: PDF, Kindle
Category : Language Arts & Disciplines
Languages : en
Pages : 346
View: 2997

Book Description: Making the Move to RDA: A Self-Study Primer for Catalogers is aimed at MARC catalogers who currently create AACR2 records and need to transition to the new Resource Description and Access (RDA) environment. Since both RDA’s structure and content differ from AACR2 in many respects, this primer will first detail the development and rationale for RDA as well as its intended goals, principles, and objectives. It will then explain RDA’s theoretical underpinnings—collectively known as the FRBR Family of Models.


Managing Legal Compliance In The Health Care Industry

Managing Legal Compliance in the Health Care Industry PDF

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Author: George B. Moseley III
Publisher: Jones & Bartlett Publishers
ISBN: 1449639658
Size: 48.40 MB
Format: PDF
Category : Business & Economics
Languages : en
Pages : 582
View: 4705

Book Description: The pressures are mounting for healthcare organizations to comply with a growing number of laws and regulations. With the passage of the Affordable Care Act, sophisticated compliance programs are now mandatory and the penalties for noncompliance are more severe. Increasingly, those who are trained in the fundamentals of healthcare laws and regulations and the complexities of designing and running compliance programs will be in high demand. Managing Legal Compliance in the Health Care Industry is a comprehensive resource that will prepare you to build and manage successful compliance programs for any healthcare service or industry. In three sections, this unique title first examines all the key laws and regulations with which healthcare organizations must comply. In section two, the author explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of healthcare organizations. Designed for administrators and legal counsel in health care organizations, as well graduate-level students in programs of public health, health administration, and law, Managing Legal Compliance in the Health Care Industry is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features: -Examines in detail the current laws and regulations with which all types of healthcare organizations must comply -Explores the seven essential ingredients for a good compliance program -Looks at compliance programs within twelve different types of healthcare organizations -References real-world cases of fraud and abuse -Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking -Accompanied by a Navigate Companion Website that offers an interactive glossary, a list of current compliance events, downloadable documents, and a reading list.


Medical Insurance Coding Workbook 2007 08

Medical Insurance Coding Workbook 2007 08 PDF

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Author: Cynthia Newby
Publisher: Career Education
ISBN: 9780073522050
Size: 27.80 MB
Format: PDF, ePub, Docs
Category : Medical
Languages : en
Pages : 160
View: 7467

Book Description: The Medical Insurance Coding Workbook for Physician Practices builds coding expertise by providing thorough practice, tips, and reinforcement in code selection and linkage. This supplementary workbook offers extensive opportunities for students to practice ICD-9-CM (diagnoses) and CPT/HCPCS (procedures) coding using the standard code reference manuals. Unique coding linkage coverage reviews and practices reporting diagnosis and procedures codes correctly together for compliant coding. The exercises build from one-line diagnostic/procedural statements to case studies. The Workbook also contains three comprehensive examinations covering ICD-9-CM, CPT/HCPCS, and Code Linkage topics. The Medical Insurance Coding Workbook for Physician Practices is designed to help users master the information needed to pass the coding certification exams and become employable. The precise and tightly focused nature of the workbook helps instructors to readily gauge students’ levels of coding proficiency.


Options For Health Insurance

Options for Health Insurance PDF

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Author: United States
Publisher:
ISBN:
Size: 73.38 MB
Format: PDF, ePub, Docs
Category : Government publications
Languages : en
Pages : 137
View: 1775

Book Description:


Fordney S Medical Insurance E Book

Fordney   s Medical Insurance   E Book PDF

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Author: Linda Smith
Publisher: Elsevier Health Sciences
ISBN: 0323594298
Size: 44.39 MB
Format: PDF
Category : Medical
Languages : en
Pages : 544
View: 3427

Book Description: Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney’s Medical Insurance equips you with the medical insurance skills you need to succeed in any of today’s outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart® for the Medical Office (SCMO) activities on the companion Evolve website give you the opportunity to practice using electronic medical records. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure you are compliant with the latest regulations. Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation. Increased focus on electronic filing/claims submission prepares you for the industry-wide transition to electronic claims submission. Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares you for your role in the workplace. Detailed examples of potential situations throughout text signal you to be attentive to these types of occurrences. Specialized icons throughout text alert you to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of. Procedures clearly outline in step-by-step format detail common responsibilities of the medical insurance specialist. UNIQUE! Interactive UB-04 Form filler on Evolve gives you additional practice with inpatient Electronic Health Records. SimChart® for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap. Key terms are defined and emphasized throughout the text to reinforce your understanding of new concepts and terminology. NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.


Fordney S Medical Insurance Dictionary For Billers And Coders E Book

Fordney s Medical Insurance Dictionary for Billers and Coders   E Book PDF

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Author: Marilyn Fordney
Publisher: Elsevier Health Sciences
ISBN: 1437722431
Size: 64.52 MB
Format: PDF, ePub
Category : Medical
Languages : en
Pages : 368
View: 128

Book Description: Over 7,500 terms, definitions, and acronyms for medical insurance, billing and coding (MIBC) make this the perfect pocket dictionary for both students and practitioners in the MIBC professions! With its small size and concise definitions, this dictionary is ideal for use in class and in the medical office. Practical, consistent alphabetical organization with no subentries and screened thumb tabs make it easy to find the information you need. Etymologies for most entries help you understand the origins of the terminology and build your professional vocabulary. A list of commonly used abbreviations printed in the front and back covers make this your go-to reference for everyday practice.