Medical insurance : a guide to coding and reimbursement / Joanne Valerius, Nenna Bayes, Cynthia Newby.

TABLE OF CONTENT

PART 1 THE HEALTH CARE ENIVROMENT

Chapter 1 Introduction to Medical Insurance
Chapter 2 HIPAA and the Legal Medical Record
3 Introduction to the Billing and Reimbursement Cycle

PART 2 PHYSICIAN PRACTICE CODING AND COMPLIANCE
Chapter 4 Diagnostic Coding: Introduction to ICD-9-CM
Chapter 5 Procedural Coding: Introduction to CPT and HCPCS
Chapter 6 Coding Linkage and Compliance

PART 3 CLAIMS PROCESSING
Chapter 7 Provider Charges and Payment Methods
Chapter 8 Health Care Claim Preparation and Transmission
Chapter 9 Claim Adjudication, Follow-up, and Collections Part

PART 4 HEALTH CARE PAYERS
Chapter 10 Private Payers: Blue Cross and Blue Shield Plans, Commercial Carriers, and Managed Care Organizations
Chapter 11 Medicare
Chapter 12 Medicaid
Chapter 13 TRICARE and CHAMPVA
Chapter 14 Workers' Compensation and Disability
Chapter 15 Hospital Billing and Reimbursement.

Includes Index: p 551-562