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EbookNice Team
Status:
Available4.8
15 reviews
ISBN-10 : 0071472207
ISBN-13 : 9780071472203
Author: Jim Keogh, Marilyn Burgos, Donya Johnson
Clueless? Feel Like a Dummy? Get Demystified! This handy resource clearly explains the principles and practices used by medical offices, hospitals, and health facilities to encode medical services in order to receive payment from government agencies and insurance companies.
Chapter 1 Introduction to Medical Billing and Coding
The Economics of Healthcare
A Brief Look Back at Healthcare
Summary
Quiz
Chapter 2 Ethical and Legal Aspects of Medical Billing
Ethics and Medical Billing
Legal Aspects of Medical Billing
Contracts
Types of Criminal Law
Confidentiality
Summary
Quiz
Chapter 3 Medical Terminology and Procedures
The Secret to Understanding Medical Language
Mastering Medical Terminology
Strategy for Learning Medical Terminology
Medical Tests, Procedures, and Treatments
Summary
Quiz
Chapter 4 Medical Office Procedures
Behind the Scenes
The Healthcare Team
Medical Office Procedures
Telephone Calls
The Answering Service
Making Calls on Behalf of the Medical Practice
Medical Records
Summary
Quiz
Chapter 5 Introduction to Diagnostic Procedures
Diagnostic Procedures
Billing Guidelines for Outpatient Claims
Billing Guidelines for Inpatient Claims
Billing Outpatient Claims in the Real World
Billing Inpatient Claims in the Real World
Understanding Symbols, Abbreviations, and Punctuation
Summary
Quiz
Chapter 6 Introduction to Procedural Coding
Here’s How Coding Works
The Healthcare Common Procedure Coding System
Current Procedural Terminology
Level II National Codes
Hands-on Coding
Summary
Quiz
Chapter 7 Introduction to Insurance Plans
What Is Insurance?
Healthcare Financing
Health Insurance Premium
Assessing the Value of a Healthcare Policy
Types of Healthcare Plans
Types of Indemnity Insurance
Archer Medical Savings Accounts
Auto Insurance and Healthcare
Disability Insurance
Workers’ Compensation
Liability Insurance and Healthcare
Summary
Quiz
Chapter 8 The Insurance Claim Cycle
Inside the Insurance Claim Cycle
The Insurance Claim
Health Insurance Portability and Accounting Act
Types of Health Insurance Coverage
Summary
Quiz
Chapter 9 Billing and Coding Errors—How to Avoid Them
The Hidden Cost of Errors
Types of Errors
The Penalty for Coding Errors
Summary
Quiz
Chapter 10 Strategies for Handling Claim Disputes
The Claim Adjudication Process
Following up on a Claim
Remittance Advice
The Appeal
The Appeals Strategy
Summary
Quiz
Chapter 11 Medical Billing Software Programs and Systems
Computerization
A Computer Program
The Medical Manager
Summary
Quiz
Chapter 12 Finding Employment in the Healthcare Industry
Employment Prospects
Educational Requirements
Skills and Responsibilities
Finding a Job
Preparing Your Resume
Cover Letters
Online Submission
Job Search
You’re in the Preliminary Finals
Preparing for the Interview
The Interview
After the Interview
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Tags: Medical billing, coding demystified, Jim Keogh, Marilyn Burgos, Donya Johnson
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