From Patient to Payment: Insurance Procedures for the Medical Office-AAA » (6th Edition)

From Patient to Payment: Insurance Procedures for the Medical Office, provides a practical, focused overview of medical insurance and billing. Each chapter is structured to give students a hands-on, practical approach to understanding and working with claims, both paper and electronic, and the medical billing process. This text is precisely tailored for a brief introduction, as the fundamental understanding of coding and claim filing principles is the goal. Incorporated are the latest HIPAA forms and regulations, medical coding, and electronic claims in a clear and focused program. It equips students with the basics of preparing correct health care claims, and provides a brief introduction to Medisoft Patient Billing software V14 , which can be used to complete claims.

Chapter 1 From Patient to Payment: Becoming a Medical Specialist

Chapter 2 HIPAA and the Legal Medical Record

Chapter 3 Diagnostic Coding

Chapter 4 Procedural Coding

Chapter 5 Payment Methods: Managed Care and Indemnity Plans

Chapter 6 Health Care Claim Preparation

Chapter 7 Claim Transmission, RA/EOB Follow-up, and Collections

Chapter 8 Blue Cross and Blue Shield

Chapter 9 Medicare

Chapter 10 Medicaid

Chapter 11 TRICARE and CHAMPVA

Chapter 12 Worker’s Compensation

Chapter 13 Disability

Chapter 14 Dental Insurance

Chapter 15 Hospital Insurance

Appendix Health Care Claim Simulations Using Medisoft

Glossary

Index