Medical Insurance: A Revenue Cycle Process Approach, 8th Edition
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The Eighth edition of Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue 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 . 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 SmartBook®, McGraw-Hill Education’s revolutionary adaptive learning technology
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 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
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