Synopses & Reviews
This capstone simulation using Medisoft Advanced Billing Software, Version 11, gives students enhanced training that fosters superior qualifications for a variety of medical office jobs. Extensive hands-on practice with realistic source documents teaches students to input information, schedule appointments, and handle billing, reports, and other essential tasks. The simulation is recommended for students who have completed the study of Medisoft Advanced Version 11 using Computers in the Medical Office or Patient Billing.
Table of Contents
Part 1 Introduction to Polaris Medical GroupWelcomeStatement of PurposeOrganization and StaffMedical RecordsGuidelines for Maintaining ConfidentialityInformation in the Medical RecordPolaris Medical Group Compliance ProgramYour Role as a Patient Services SpecialistQualities and Attitudes of the PSSGeneral ResponsibilitiesYour Typical Day at Family Medical GroupScheduling Patients for AppointmentsRecording and Maintaining Patient InformationMaintaining a Third-Party Payer InformationEducating Patients and Responding to Patient InquiriesRecording Charges, Payments and AdjustmentsGenerating Insurance ClaimsChecking for and Recording Incoming ReferralsGenerating Financial ReportsUpdating CPT and ICD-9 Codes in the DatabaseQuiz: Part 1Part 2 Polaris Medical Group Policy and Procedure ManualReading AcknowledgmentContentsPractice InformationEqual Employment Opportunity, Nondiscrimination, and Affirmative Action StatementTypes of EmploymentWages and CompensationPay RatesOvertime CompensationPay DatesEmployee Time RecordsPerformance EvaluationsEmployee BenefitsEmployee GrievancesResignation, Termination, Discharge, and Cobra BenefitsResignationTerminationDischargeCobra BenefitsPersonnel Conduct IssuesContributions and SolicitationsIdentification BadgesInclement Weather ConditionsSexual HarassmentDress CodeSmoking and Tobacco UseSubstance AbusePersonal Telephone Calls and VisitsUniversal PrecautionsOffice Hours and AttendanceDefinitions of AbsencesScheduled AbsencesUnscheduled AbsencesLateness/Leaving EarlyExcused AbsencesUnexcused AbsencesAttendance PolicyTelephone ProceduresRecording Telephone CallsScreening Telephone CallsTaking Telephone MessagesHandling Emergency Telephone CallsSymptoms/Complaints Considered EmergenciesOffice Visit ProceduresConfidentialityConfidentiality PolicyConfidentiality GuidelinesReceptioningGathering Patient InformationInformation Obtained from New Patients over the TelephoneInformation from Other SourcesVerifying Insurance CoverageGuidelinesChecking for Preauthorization RequirementsChecking for Referral RequirementsConcluding the Patient's VisitAppointmentsScheduling AppointmentsPatient FlowScheduling AllotmentsPayment for ServicesThe Billing ProcessBilling Codes, Patient Statements, and Place of Service CodesInsurance ClaimsBilling GuidelinesReview of RAsPatient Billing DisputesDaily ReportsGuidelines for Medicare, Medicaid, and Workers' CompensationMedicareMedigap InsuranceMedicare Managed Care PlansMedicaidWorkers' CompensationInsurance Information PagesStandard Health Care, Inc., Traditional PlanBlue Cross and Blue Shield of Ohio, Traditional PlanTricare HMOColumbus Medical Care PPOCigna Healthplan HMOAetna Health Plans, Ohio HMO-NetworkOhio Insurance Company, Traditional PlanNationwide Medicare, Parts A and BNationwide Medicare HMOOhio Department of Human Services, MedicaidBlue Cross and Blue Shield of Ohio, Workers' CompensationQuiz: Part 2Part 3 On the JobWeek 1, Day 1Medisoft Training Topic 1: Entering Guarantors Who Are Not PatientsWeek 1, Day 2Week 1, Day 3Week 1, Day 4Week 1, Day 5Medisoft Training Topic 2: Entering ReferralsMedisoft Training Topic 3: Entering a Primary Care Provider Outside the PracticeMedisoft Training Topic 4: Using Quick BalanceEnd of Week 1 JobWeek 2, Day 1Medisoft Training Topic 5: Entering Prior Authorization NumbersWeek 2, Day 2Medisoft Training Topic 6: Entering Additional Diagnosis CodesWeek 2, Day 3Medisoft Training Topic 7: Closing CasesMedisoft Training Topic 8: Entering Visit Authorization NumbersWeek 2, Day 4Medisoft Training Topic 9: Entering Additional Procedure CodesWeek 2, Day 5End of Month JobsMedisoft Training Topic 10: Printing a Billing/Payment Status ReportPart 4 Source DocumentsGlossaryIndex