Synopses & Reviews
This concise, practical text-workbook provides extensive real-world practice with the HIPAA 837 electronic claim form and CMS 1500 paper claims. Includes flow charts, claims processing forms, and medical reports. Coding and billing content is based on industry practice and addresses electronic claims and a variety of compliance issues. The text provides a brief introduction to NDCMedisoft Advanced, Version 9 software.
Table of Contents
1 From Patient to Payment2 HIPAA and the Legal Medical Record3 Diagnostic Coding4 Procedural Coding5 Payment Methods: Managed Care and Indemnity Plans6 Health Care Claim Preparation and Transmission7 Payment Follow-up and Collections8 Blue Cross and Blue Shield9 Medicare10 Medicaid11 Tricare and Champva12 Workers' Compensation13 Disability14 Dental Insurance15 Hospital Insurance16 NDCMedisoft Claim Simulations