Description
Book SynopsisTable of ContentsSECTION I: A CAREER IN HEALTH CARE 1. Introduction to Professional Billing and Coding Careers SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER 2. Understanding Managed Care: Insurance Plans 3. Understanding Managed Care: Medical Contracts and Ethics 4. Introduction to the Health Insurance Portability and Accountability Act (HIPAA) SECTION III: MEDICAL CODING 5. ICD-10-CM Medical Coding 6. Introduction to CPT and Place of Service Coding 7. Coding Procedures and Services 8. HCPCS and Coding Compliance 9. Auditing SECTION IV: MEDICAL CLAIMS 10. Physician Medical Billing 11. Hospital Medical Billing SECTION V: GOVERNMENT MEDICAL BILLING 12. Medicare Medical Billing 13. Medicaid Medical Billing 14. TRICARE Medical Billing SECTION VI: ACCOUNTS RECEIVABLE 15. Explanation of Benefits and Payment Adjudication 16. Refunds, Follow-Up, and Appeals SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM 17. Workers' Compensation Appendix A: Completing the CMS-1500 Form for Physician Outpatient Billing Appendix B: Completing the CMS-1500 Form for Physician Outpatient Billing Plus Determining the Correct Diagnostic and Procedure Codes Appendix C: Completing the UB-04 Form for Hospital Billing Appendix D: Medical Forms Appendix E: Acronyms and Abbreviations Appendix F: Medical Terminology Word Parts Appendix G: Helpful Websites Glossary Index
