From Patient to Payment PDF Download

Author:
Publisher:
ISBN: 9780073014678
Category : Health insurance
Languages : en
Pages : 294

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Author: Joanne Valerius
Publisher: McGraw-Hill Science, Engineering & Mathematics
ISBN: 9780072974522
Category : Business & Economics
Languages : en
Pages : 582

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Book Description
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.

Author: Marilyn Fordney
Publisher: Elsevier Health Sciences
ISBN: 0323316948
Category : Medical
Languages : en
Pages : 576

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Book Description
Gain real-world practice in insurance billing and coding with Fordney’s Workbook for Insurance Handbook for the Medical Office, 14th Edition. This user-friendly workbook features realistic, hands-on exercises to help you apply concepts and develop critical thinking skills. Study tools include performance objectives, key terms, abbreviation lists, study outlines, critical thinking assignments, and more. Performance objectives are carried throughout the chapter to help users identify what needs to be accomplished for that chapter. Critical thinking assignments contains questions in the form of short, real-world vignettes to assist users in applying theory learned from the textbook. Self-study exercises include fill-in-the-blank, mix-and-match, multiple-choice, and true/false questions. Key terms and abbreviations lists at beginning of each chapter help to teach and reinforce new concepts and terminology. Study outlines covering the key points for each chapter in the textbook guide effective note taking during classroom lecture. NEW! Updated content reflects changes in the main text.

Author: Cynthia Newby
Publisher: Career Education
ISBN: 9780073402048
Category : Medical
Languages : en
Pages : 0

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Book Description
Medical Insurance Coding Workbook for Physician Practices and Facilities, 2009 – 2010 Edition builds coding expertise by providing thorough practice, tips, and reinforcement in code selection and linkage. This supplementary workbook offers extensive opportunities for students to practice ICD-9-CM (diagnoses) and CPT/HCPCS (procedures) coding using the standard code reference manuals. Unique coding linkage coverage reviews and practices reporting diagnosis and procedures codes correctly together for compliant coding. The exercises build from one-line diagnostic/procedural statements to case studies. The Workbook also contains three comprehensive examinations covering ICD-9-CM, CPT/HCPCS, and Code Linkage topics. Medical Insurance Coding Workbook for Physician Practices and Facilities, 2009 – 2010 Edition is designed to help users master the information needed to pass the coding certification exams and become employable. The precise and tightly focused nature of the workbook helps instructors to readily gauge students’ levels of coding proficiency.

Author: Marilyn Takahashi Fordney
Publisher: Saunders
ISBN: 9780721656717
Category : Business & Economics
Languages : en
Pages : 504

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Book Description
This text provides an up-to-date source for changes in medical insurance coding and claims completion. From the correct CPT codes and documentation to use for obtaining maximum reimbursement to solutions, to insurance billing problems, the reader will find complete coverage of all aspects of submitting, tracing, appealing and electronically transmitting claims.

Author: Marilyn Fordney
Publisher: Elsevier Health Sciences
ISBN: 0323226809
Category : Medical
Languages : en
Pages : 683

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Book Description
A complete guide to insurance billing and coding, Insurance Handbook for the Medical Office, 13th Edition covers all the plans that are most commonly encountered in clinics and physicians’ offices. Its emphasis on the role of the medical insurance specialist includes areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. Learning to fill in the claim form accurately is made easier by the use of icons for different types of payers, lists of key abbreviations, and numerous practice exercises. This edition provides the latest on hot topics such as ICD-10, healthcare reform, the new CMS-1500 form, and electronic claims. Trusted for more than 30 years, this proven reference from Marilyn Fordney prepares you to succeed as a medical insurance professional in any outpatient setting. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments. Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology. Detailed tables, boxes, and illustrations call out key points and main ideas. Unique! Color-coded icons clarify information, rules, and regulations for different payers. An Evolve companion website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in. A workbook contains learning tips, practice exercises for key terms and abbreviations, review questions, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately. Updated coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013. Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date. Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form. Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office.

Author: Marilyn Fordney
Publisher: Saunders
ISBN: 9780721605180
Category : Business & Economics
Languages : en
Pages : 566

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Book Description
Realistic, hands-on exercises prepare students to work effectively in the managed care environment with all types of insurance claims. Self-study review questions and complete, competency-based tests are presented. Easily removable sample practice forms are provided, as well as case study information and practice exercises. Available separately.

Author: Catherine Cochran
Publisher: CRC Press
ISBN: 1439856249
Category : Business & Economics
Languages : en
Pages : 243

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Book Description
When a doctor sees a patient, how does the doctor’s office get paid? If a claim for a service or procedure provided is denied, how does the doctor’s office get the patient’s insurance company to pay? Handling the Medical Claim: An 8-Step Guide on "How To" Correct and Resolve Claim Issues explains—from beginning to end—how to bill and collect on claims for services provided in a physician’s office. Focusing on the CMS-1500 claim form, the book explains how to prepare and file the form to submit charges to patients’ insurance companies. Written by a medical billing specialist experienced in handling medical claims and denials on both the provider and insurer sides of the business, this step-by-step guide begins by covering some basic good practice management skills. Next, it outlines each department’s specific duties based on the each department’s responsibilities for specific parts of the claim. In addition to learning how to submit and resolve claims that cannot be processed or are denied, readers will learn how to: Enter data in the doctor’s schedule, including appointment types Gather patient data from medical records Register patients, including patient information, guarantor, and policyholder and insurance information Input information about the appointment and diagnosis Use the different types of coding systems used for billing charges Understand the claim cycle, determine reimbursement, and apply payment Obtain patient and insurance information Appeal a denied claim and handle patient balances The book includes case examples and step-by-step guidance for resolving claim issues that could arise—including how to determine what part of the chapter you can find your answer and how to link your findings to the box number on the claim form to which the problem pertains. Highlighting opportunities for increasing revenue, it includes an overview of the revenue cycle and the importance of keeping cash flow moving. Packed with forms, charts, and illustrative examples, the text supplies the tools and understanding you’ll need to manage billing and collection in any physician’s office or clinical department.

Author: Linda M. Smith
Publisher: Elsevier Health Sciences
ISBN: 0323810780
Category : Medical
Languages : en
Pages : 374

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Book Description
- NEW! Additional procedures provide more practice, helping you remember the material.

Author: Cynthia Newby
Publisher: Career Education
ISBN: 9780073522050
Category : Medical
Languages : en
Pages : 0

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Book Description
The Medical Insurance Coding Workbook for Physician Practices builds coding expertise by providing thorough practice, tips, and reinforcement in code selection and linkage. This supplementary workbook offers extensive opportunities for students to practice ICD-9-CM (diagnoses) and CPT/HCPCS (procedures) coding using the standard code reference manuals. Unique coding linkage coverage reviews and practices reporting diagnosis and procedures codes correctly together for compliant coding. The exercises build from one-line diagnostic/procedural statements to case studies. The Workbook also contains three comprehensive examinations covering ICD-9-CM, CPT/HCPCS, and Code Linkage topics. The Medical Insurance Coding Workbook for Physician Practices is designed to help users master the information needed to pass the coding certification exams and become employable. The precise and tightly focused nature of the workbook helps instructors to readily gauge students’ levels of coding proficiency.