Medical Insurance: A Revenue Cycle Process Approach https://www.mheducation.com/cover-images/Jpeg_400-high/0077840275.jpeg 7 9780077840273 The seventh edition of Medical Insurance: An Integrated Claims Process Approach emphasizes the medical billing cycle—ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process. The cycle shows how administrative medical professionals “follow the money.” Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation, which then ensures that offices receive maximum, appropriate reimbursement for services provided. Learn the skills you need for your health professions career using multiple digital resources. The claims case studies can be completed via CMS-1500 form activities or by using simulated Medisoft exercises, both available in Connect, McGraw-Hill’s homework and assessment platform. Read and study the content more effectively—spending more time on topics you don’t know and less time on the topics you do—by using LearnSmart and SmartBook, McGraw-Hill’s revolutionary adaptive learning technology.
Medical Insurance: A Revenue Cycle Process Approach

Medical Insurance: A Revenue Cycle Process Approach

7th Edition
By Joanne Valerius and Nenna Bayes and Cynthia Newby and Amy Blochowiak
ISBN10: 0077840275
ISBN13: 9780077840273
Copyright: 2017
Product Details +
09780077840273

Purchase Options

Students, we’re committed to providing you with high-value course solutions backed by great service and a team that cares about your success. See tabs below to explore options and pricing. Don't forget, we accept financial aid and scholarship funds in the form of credit or debit cards.

Loose-Leaf Purchase

  • Purchase un-bound 3-ring binder ready textbook
  • Flexibility and ease of selecting chapters to take where you want to go

What are my shipping options?


ISBN10: 1259683079 | ISBN13: 9781259683077

Purchase

$119.67

Hardcopy

Receive via shipping:

  • Bound book containing the complete text
  • Full color
  • Hardcover or softcover

What are my shipping options?


ISBN10: 0077840275 | ISBN13: 9780077840273

Purchase

$171.00

Connect

  • Personalize your learning, save time completing homework, and possibly earn a better grade
  • Access to eBook, homework and adaptive assignments, videos, and study resources
  • Download free ReadAnywhere App for offline access to eBook for anytime reading
  • Connect may be assigned as part of your grade. Check with your instructor to see if Connect is used in your course.

See how Connect works >


ISBN10: 1259683060 | ISBN13: 9781259683060

12 Month

$90.00

Connect + Loose Leaf

  • Personalize your learning, save time completing homework, and possibly earn a better grade
  • Access to eBook, homework and adaptive assignments, videos, and study resources
  • Download free ReadAnywhere App for offline access to eBook for anytime reading
  • Purchase un-bound 3-ring binder ready textbook
  • Flexibility and ease of selecting chapters to take where you want to go

See how Connect works >

What are my shipping options?


ISBN10: 1259706346 | ISBN13: 9781259706349

Purchase

$162.00

The estimated amount of time this product will be on the market is based on a number of factors, including faculty input to instructional design and the prior revision cycle and updates to academic research-which typically results in a revision cycle ranging from every two to four years for this product. Pricing subject to change at any time.

Program Details

Preface

Acknowledgments

Part 1 WORKING WITH MEDICAL INSURANCE AND BILLING

Chapter 1-Introduction to the Medical Billing Cycle

Chapter 2- Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients' Health Information

Chapter 3-Patient Encounters and Billing Information

Part 2 CLAIM CODING

Chapter 4- Diagnostic Coding: Introduction to ICD-10-CM

Chapter 5- Procedural Coding: CPT and HCPCS

Chapter 6-Visit Charges and Compliant Billing

Part 3 CLAIMS

Chapter 7-Health Care Claim Preparation and Transmission

Chapter 8-Private Payers/BlueCross BlueShield

Chapter 9-Medicare

Chapter 10-Medicaid

Chapter 11- TRICARE and CHAMPVA

Chapter 12-Workers' Compensation and Disability/Automotive Insurance

Part 4 CLAIM FOLLOW-UP AND PAYMENT PROCESSING

Chapter 13-Payments (RAs), Appeals, and Secondary Claims

Chapter 14-Patient Billing and Collections

Chapter 15- Primary Case Studies

Chapter 16-RA/Secondary Case Studies

Part 5 HOSPITAL SERVICES

Chapter 17-Hospital Billing and Reimbursement

Part 6 CLAIM CODING: ICD-9-CM

Chapter 18-Diagnostic Coding: Introduction to ICD-9-CM and ICD-10-CM

Appendix A Guide to Medisoft

Appendix B Guide to the Interactive Simulated CMS-1500 Form

Appendix C Place of Service Codes

Appendix D Professional Websites

Appendix E Forms

Abbreviations

Glossary

Index

About the Author

Joanne Valerius

Nenna Bayes

Nenna L. Bayes , AAS, BBA, M.Ed., CPC, has coauthored
and reviewed various titles within the medical administrative fields. She earned an
associate of applied business degree, a bachelor of business administration degree,
and a masters of arts in education from Morehead State University. During her tenure,
she has taught numerous courses within the administrative and medical administrative
curriculum. She is a professor in and the program coordinator for the Office
Systems Technology and Medical Information Technology programs at Ashland
Community and Technology College in Ashland, Kentucky, and has received many
teaching excellence awards. She is also a certified professional coder (CPC). Prior to
teaching, she worked in various medical office environments. Additionally, she is a
member of the American Academy of Professional Coders (AAPC) and the American
Health Information Management Association (AHIMA).
She lives in Flatwoods, Kentucky, with her husband and is blessed to have two
children and two granddaughters . She is actively involved in music and enjoys
camping in her leisure time.

Cynthia Newby

Cynthia Newby, CPC, CPC-P, is a long-serving author who works closely with McGraw-Hill Education instructional development staff to develop excellent MIBC programs. Cynthia is a graduate of Hood College and a trustee of that institution as well as her local animal shelter and library.

Amy Blochowiak

Amy L. Blochowiak, MBA, ACS, AIAA, AIRC, ARA, FLHC, FLMI, HCSA, HIA, HIPAA, MHP, PCS, SILA-F, has over 16 years of insurance industry experience serving in various roles. Amy is currently the HCBS Program Director at Northeast Wisconsin Technical College where sits on many committees and she shares her passion for student success.

Connect

By prompting students to engage with key concepts and by continually adapting to their individual needs, Connect activates learning and empowers students to take control. This increased engagement results in better grades and increased retention rates. Proven online content integrates seamlessly with our adaptive technology and helps build student confidence outside of the classroom.

Learn More


SmartBook

Available within Connect, SmartBook actively tailors content to the individual student- The more a student interacts with SmartBook, the better it gets to know what they know and what they don’t know, helping students to maximize study time. By providing students with a safe place to make mistakes, showing them the areas they need to work on most, and by giving them consistent, personalized feedback at the exact moment they need it, SmartBook helps them to bridge their knowledge gaps and come to class prepared.

Learn More

Connect Reporting

View complete, at-a-glance reports for individual students or the whole class. Generate powerful data related to student performance across learning outcomes, specific topics, level of difficulty and more. Additionally, you can compare student performance in different sections of the course.

Learn More

LMS Integration

With a single point of access, Connect seamlessly integrates with every learning management system on the market today. Quickly access registration, attendance, assignments, grades, and course resources in real time in one, familiar location.

Implementation and digital support

We provide self-directed resources, local, on campus training, and live webinar sessions, to get you up and running in a way that works for you, and to help you get the most out of Connect. We maintain a technical support team available to both instructors and students for any questions that might arise while using Connect.

Learn More

Accessibility Rubric

Creating accessible products is a priority for McGraw-Hill. We have put in place processes to make accessibility and meeting the WCAG AA guidelines part of our day-to-day development efforts and product roadmaps.

Please review our accessibility information for this specific product.

In future editions, this rubric will be reformatted to increase accessibility and usability.

McGraw-Hill sites may contain links to websites owned and operated by third parties. These links are provided as supplementary materials, and for learners’ information and convenience only. McGraw-Hill has no control over and is not responsible for the content or accessibility of any linked website.

For further information on McGraw‐Hill and Accessibility, please visit our accessibility page or contact us at accessibility@mheducation.com