Medical Insurance: A Guide to Coding and Reimbursement
McGraw-Hill Higher Education, Feb 16, 2004 - Medical - 562 pages
Designed for the one-semester medical insurance course, Medical Insurance provides clear, focused, and authoritative instruction on medical insurance and reimbursement, with an emphasis on electronic processing. All types of medical insurance are covered, and examples in the text represent a realistic mix of managed care and fee-based plans. The program teaches basic medical coding and coding compliance, because this knowledge is essential for ensuring maximum appropriate reimbursement for reported healthcare services. A new chapter on HIPAA features the rules on transactions and code with detailed coverage of claim transmission and remittance advice.
What people are saying - Write a review
We haven't found any reviews in the usual places.
Introduction to Medical Insurance 2
24 other sections not shown
Other editions - View all
allowed charge amount Anesthesia assigned audit beneficiaries benefits button CHAMPVA Chapter Click clinical Code Sets coder coinsurance compensation compliance Computer Exploration condition copay copayment covered entity Date deductible diagnosis codes dialog box disability disease documentation electronic eligible employees encounter form Entry established patient example facility federal fee-for-service plan guidelines HCPCS health care claims health maintenance organization health plan HIPAA hospital identify individual injury inpatient insurance carrier insurance coverage insurance plan managed care managed care plans Medicaid medical insurance specialist medical necessity medical practices medical record Medicare Medigap MediSoft ment modifier National Provider Identifier NDcMediSoft organization outpatient payer payment percent Policy practice's preferred provider organization primary Problem Focused procedure codes professional provider provider's receive referral regulations reimbursement reported responsible standard surgery surgical tion transaction treatment TRICARE types usually Valley Associates workers