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COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. 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. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.
0133141322 / 9780133141320 Comprehensive Health Insurance: Billing, Coding & Reimbursement Plus NEW MyHealthProfessionsLab with Pearson eText
Package consists of
0132966891 / 9780132966894 Comprehensive Health Insurance: Billing, Coding &
013297410X / 9780132974103 NEW MyHealthProfessionsLab with Pearson eText -- Access Card -- for Comprehensive Health Insurance: Billing, Coding, and
Synopsis
COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. 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. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.
Synopsis
For courses in Introduction to Healthcare Billing and Medical Coding.
COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. 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. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.
Synopsis
This package contains:
0132966891: Comprehensive Health Insurance: Billing, Coding & Reimbursement
0132973022: student Workbook for Comprehensive Health Insurance: Billing, Coding & Reimbursement
Synopsis
0134243803 / 9780134243801 MyHealthProfessionsLab for 5 MIBC texts -- Access Card Package
Package consists of:
0132541777 / 9780132541770 Medical Coding: A Journey
0132860368 / 9780132860369 ICD-10-CM/PCS Coding: A Map for Success
013286052X / 9780132860529 NEW MyHealthProfessionsLab with Pearson eText -- Access Card -- for ICD-10-CM/PCS Coding: A Map for Success
0132920719 / 9780132920711 Guided Approach to Intermediate and Advanced Coding, A
0132936275 / 9780132936279 NEW MyHealthProfessionsLab with Pearson eText -- Access Card -- for A Guided Approach to Intermediate and Advanced Coding
0132966891 / 9780132966894 Comprehensive Health Insurance: Billing, Coding & Reimbursement
013297410X / 9780132974103 NEW MyHealthProfessionsLab with Pearson eText -- Access Card -- for Comprehensive Health Insurance: Billing, Coding, and Reimbursement
0133109585 / 9780133109580 NEW MyHealthProfessionsLab with Pearson eText -- Access Card -- for Medical Coding: A Journey
0133797783 / 9780133797787 Pearson's Comprehensive Medical Coding
0134141466 / 9780134141466 MyHealthProfessionsLab with Pearson eText --Access Card--for Comprehensive Medical Coding
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. HIPAA: Health Insurance Portability and Accountability Act of 1996
SECTION III: MEDICAL CODING
5. ICD-9-CM Medical Coding
6. ICD-10-CM Medical Coding
7. Introduction to CPT and Place of Service Coding
8. Coding Procedures and Services
9. HCPCS and Coding Compliance
10. Auditing
SECTION IV: MEDICAL CLAIMS
11. Physician Medical Billing
12. Hospital Medical Billing
SECTION V: GOVERNMENT MEDICAL BILLING
13. Medicare Medical Billing
14. Medicaid Medical Billing
15. TRICARE Medical Billing
SECTION VI: ACCOUNTS RECEIVABLE
16. Explanation of Benefits and Payment Adjudication
17. Refunds and Appeals
SECTION VII: INJURED EMPLO YEE MEDICAL CLAIM
18. Workers' Compensation
SECTION VIII: USE OF MEDICAL PRACTICE MANAGEMENT SOFTWARE
19. Electronic Medical Claims Processing