Medical Billing Handbook, Volume 2

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Pearson/Prentice Hall, 2005 - Business & Economics - 675 pages
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For anyone interested in entering into the medical billing field or professionals currently practicing within it.

Written by the founder and Executive Director of the National Electronic Billers Association (NEBA), the largest medical billing organization in the country, this book is a comprehensive and authoritative overview of medical billing as a business. Merry Schiff, a renown teacher of thousands of students, brings her understanding and teaching skills to the market.

Medical Billing Handbook leaves no question unanswered. A comprehensive approach provides information on all aspect of the business including; policies, procedures, manual and electronic processes, HIPAA, and managing the business.

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Contents

A DEFINITIONS OF HEALTH INSURANCE
5
K FRAUD AND ABUSE UNDER THE MEDICARE PROGRAM
34
N PREFERRED PROVIDER ORGANIZATIONS PPOs
40
Copyright

5 other sections not shown

Common terms and phrases

About the author (2005)

Merry Schiff, C.H.R.S.
Certified Healthcare Reimbursement Specialist
Founder and Executive Director NEBA

Merry Schiff is a Certified Healthcare Reimbursement Specialist and is the Founder and Executive Director of the National Electronic Billers Alliance (NEBA). She has been in the medical billing business for over 40 years. Early in her career, there were no electronic claims, few medical insurance companies, dental insurance did not exist, and no one had heard of the words "managed care." Over the years, the medical billing field has grown and changed exponentially.

As a medical reimbursement specialist, Merry has been installing computer systems for medical and dental providers since 1978. For two years in the mid-1980s, she was IBM's only authorized installer for its medical software. She has helped design several medical claims packages and has been selling and training in this specific market for many years.

Many people were entering into the medical billing business, and once they had completed their training, they were lost as to how to make the transition to a successful business. Ongoing support was lacking and people did not succeed. NEBA was founded by Merry in 1996 to assist people who were entering the medical billing industry or who were currently working in the field. NEBA offers certification examinations for both medical billers and HIPAA, and offers the business expertise to those who are starting up their own businesses and need help establishing business and financial goals.

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