Coding Basics: Medical Billing and Reimbursement Fundamentals

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Cengage Learning, Feb 27, 2009 - Business & Economics - 416 pages
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Coding Basics: Medical Billing and Reimbursement Fundamentals is part of a series designed to provide you with the foundation to work in today’s medical office. This installment features real-world claim forms and reports for hands-on practice to build the skills you need to acquire an entry-level job in today’s medical office. Billing and reimbursement concepts are presented clearly and concisely, with opportunities for practice throughout.
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This is a very good basic course in Medical Reimbursement. I did however find that Chapter 6 on Medicare and Medicaid to be light on information. For it to be such a large part of reimbursement, I found I had to look elsewhere to give me more depth of information to help me study for my certification exam. 

Contents

Acknowledgements
1
The Reimbursement Specialist
3
Office Procedures
17
Patient Information
33
CMS1500 Form
51
Health Insurance
73
Medicare
83
Blue Cross Blue Shield Medicaid TRICARE Commercial and Workers Compensation Insurances
109
Problem Solving
191
Aged Trial Balance Reports
203
Collections
217
Résumés and Interviews
233
Case Studies
253
Internet Links
275
Forms
277
Medical Terminology Review by Marie A Moisio MA RHIA
287

Coding Overview of CPT and ICD9CM Coding
133
Charge Entry
155
Payment Entry
173
Glossary
293
Index
301
Copyright

Common terms and phrases

About the author (2009)

Cynthia A. Richards, CPC, has worked in the medical profession for over 30 years. She received her AAS and worked as a radiologic technologist for 15 years. She gained experience in the clinical side of the medical profession both in the physician's office and hospital settings. She worked in the reimbursement sector of the medical office for over 16 years in the specialties of Rheumatology, Anesthesia, Family Practice, Eye Care, Orthopedics, and Radiology. She became a Certified Professional Coder in 2004 while coding for a large radiology billing company in the New Jersey area. Sharing her expertise in the reimbursement and coding fields led her to a teaching position in a local Maine career school. Becoming the lead instructor in the Health Claim Specialist Program was rewarding and challenging. Teaching adult learners the concepts of medical reimbursement, insurances, coding, hospital billing, medical terminology, psychology, math, and English turned into a full-time profession. Working to expand the current program and becoming the externship site coordinator allowed her to help each student gain his or/and her full potential. Th e most rewarding aspect in the education field for Cynthia was seeing the students graduate and become an important part of the medical community.