The Guide to Medical Billing and Coding (2nd Edition)

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9780131722521: The Guide to Medical Billing and Coding (2nd Edition)

Medical billing is one of the fastest-growing employment opportunities in the United States today.  Insurance companies, medical offices, hospitals and other health care providers are in great need of trained personnel to create medical claims.  This book will ensure learning the skills necessary to become a  successful medical claims biller.  It is presented in a comprehensive, yet user friendly way, following a logical learning format beginning with a broad base of information and then, step by step, following the course for creation of a medical claim.

 

This book teaches the skills necessary to become a well-rounded medical biller.  By completing this course of study with a satisfactory grade, the user will be granted a certificate and can have the opportunity to work towards an "Honors Certificate", which is even more valuable to a potential employer.

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Publishing Inc., ICDC
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Book Description Prentice Hall, 2006. Book Condition: New. Brand New, Unread Copy in Perfect Condition. A+ Customer Service! Summary: SECTION I. MEDICAL PRACTICE ADMINISTRATION.1. Introduction to Medical Billing and Coding.Job Roles and DutiesThe Medical TeamTypes of Healthcare SettingsBasic Skill Requirements of the Medical BillerInterpersonal SkillsOn The Job Now (Special Feature)StressOn The Job Now (Special Feature)Pre-Vacation Work PlanningCertification Programs for Medical BillersLegal IssuesPrivacy GuidelinesFraudHIPAA and Fraud and AbuseEmbezzlementEmployee Bonding and Errors and Omission InsuranceClaim AuditsPractice Pitfalls (Special Feature)Medical EthicsSubpoenasInstances in Which the Patient Should Be Notified and the File NotatedSummaryAssignmentsQuestions for ReviewExercises 1 1 through 1 3Honors Certification'2. Clinical Records and Medical Documentation.Medical ChartsFiling the ChartMedical Documentation RulesSOAP NotesSignature CardsRetention of RecordsPractice Pitfalls (Special Feature)Storing Medical RecordsPractice Pitfalls (Special Feature)Electronic Medical ChartingComputerized FilesRecord TransfersPatient Information SheetOn The Job Now (Special Feature)Release of Information FormAssignment of Benefits FormPatient History FormInsurance VerificationPractice Pitfalls (Special Feature)On the Job Now (Special Feature)Additional SuggestionsSummaryAssignmentsQuestions for ReviewExercises 2 1 through 2 3Honors Certification'SECTION II. HEALTH INSURANCE PROGRAMS.3. Health Insurance Contract Interpretation.Blue Cross/ Blue ShieldContract ProvisionsOn the Job Now (Special Feature)Contract BenefitsOn the Job Now (Special Feature)On The Job Now (Special Feature)On The Job Now (Special Feature)Practice Pitfalls (Special Feature)On The Job Now (Special Feature)Practice Pitfalls (Special Feature)On The Job Now (Special Feature)ExclusionsAllowed AmountsPractice Pitfalls (Special Feature)Pre-certification of Inpatient AdmissionsUtilization ReviewSecond Surgical Opinion ConsultationsOn The Job Now (Special Feature)Coordination of BenefitsOn The Job Now (Special Feature)SummaryAssignmentsQuestions for ReviewExercises 3 1 through 3 6Honors Certification'Sample Insurance Contracts4. Medicare and Medicaid.MedicareMedicare EligibilityThe Parts of MedicarePractice Pitfall (Special Feature)On The Job Now (Special Feature)Allowable ChargesMedicare Health Insurance Card (HIC)Practice Pitfalls (Special Feature)Medicare Physician Identification NumbersPractice Pitfalls (Special Feature)Medicare Billing NoticesAssignment of BenefitsPractice Pitfalls (Special Feature)Practice Pitfalls (Special Feature)Medicare Secondary PayerDiagnosis-Related Group BillingOn The Job Now (Special Feature)Durable Medical EquipmentMedicare DenialsAdvanced Beneficiary Notice (ABN)Practice Pitfalls (Special Feature)The Medicare Appeals ProcessMedical Fraud and AbuseMedicare Supplemental InsuranceMedicare and Managed CareMedicare Notice of Non-CoverageMedicare Billing GuidelinesPractice Pitfalls (Special Feature)MedicaidMedicaid Covered ServicesReimbursement from Medicaid. Bookseller Inventory # ABE_book_new_0131722522

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