Mastering the Reimbursement Process

Revised and updated with more than 200 pages of new information, this outstanding book guides users through the reimbursement process from start to finish. Perfect for trainers, students and veteran reimbursement professionals alike, the Third Edition offers:

-Concise, informative and easy-to-understand overviews of insurance basics

-Information on types of insurance and payers, coding systems, insurance processing and review and appeals

-Several extensive appendices

-New chapters on electronic claims processing, compliance plans for physicians, and privacy and confidentiality issues, including HIPAA

-Plus new appendices on OIG Compliance and Internet Resources

Praise for Mastering the Reimbursement Process

"Mastering the Reimbursement Process is the single best source for the physician, medical office staff, or others to get a comprehensive understanding of health insurance, claims submission, and the follow-up necessary to get paid by third parties."

Michael T. Myers, Jr, MD, MBA Director, Health Care Regulatory Group PricewaterhouseCoopers LLP

"Physicians, practice managers and compliance professionals will find Mastering the Reimbursement Process and its Appendices to be an invaluable resource for achieving the proper reimbursement and reducing compliance risks."

J. William Tillett, Jr, CPA National Director Health Care Corporate Compliance Services Ernst & Young LLP