Insurance Handbook for the medical office / Marilyn Takahashi Fordney.
Publication details: Philadelphia : W.B. Saunders, c1995.Edition: 4th edDescription: xxii, 477 p. : ill. ; 28 cmISBN:- 0721656714
- 368.38 22 FOR
| Item type | Current library | Call number | Copy number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
Book Open Access
|
Engineering Library | 368.38 FOR (Browse shelf(Opens below)) | 1 | Available | 0020174 |
Content
UNIT 1
Career Role and Responsibilities
Chapter 1
a career as an insurance billing specialist
introduction
educational and training requirements
career advantages
personal qualifications
medical etiquette
etc.
Chapter 2
legal issues affecting insurance claims and medical records
introduction
employment
insurance policies (contacts)
patient/physician contracts and financial responsibility
physician and managed care contracts
etc.
UNIT 2
the claims process
Chapter 3
basic of health insurance
introduction
history
the insurance policy
choice of health insurance
types of health insurance coverage
Chapter 4
procedural coding
introduction
coding of procedures
methods of payments
vocabulary used in coding
evaluation and management section
etc.
Chapter 5
Diagnostic coding
Introduction
Coding of diseases
How to use the diagnosis code books
etc.
Chapter 6
The Health insurance claim form
Introduction
Types of claims
Abstracting from medical records
Medical and diagnostic terminology
etc.
Chapter 7
Electronic data interchange ( EDI )
Background
Computer
Computer claim systems
Electronic data interchange
etc.
Chapter 8
Tracing delinquent claims and insurance problem solving
Claims provisions
State insurance commissioner
Claim management techniques
Problem claims
etc.
UNIT 3
Health care payers
Chapter 9
Management care systems and special plans
Managed care systems
Medical review
Management of plans
etc.
Chapter 10
Blue cross and blue shield plans
Introduction
History and purpose
Special clauses and benefits
Types of blue cross and blue shield contract
etc.
Chapter 11
Medical and Other State Programs
Medicaid Eligibility
Claim Procedure
Handy Hints
Material and Child Health Program (MCHP)
Etc.
Chapter 12
Medicare
Introduction
Medicare program
Medicare Payments
Coverage
Medicare supplemental Insurance
Etc.
Chapter 13
Champus and Champva
Background
Champus Program
Champva Program
Privacy act of 1974
Nonavailability Statement
Etc.
Chapter 14
Workers' Compensation
Workers compensation
Coverage of federal Law
Types of state claims
Fraud and Abuse
Etc.
Chapter 15
Disability Income Insurance and Disability Benefit Programs
Introduction
History
Disability income income insurance
Federal Disability Programs
State Disability Insurance
Etc.
CHAPTER 16
Seeking a position as an Insurance Billing specialist
Employment opportunities
Job Search
Self- Employment or Free-Lancing
Includes bibliographical references (p. 439-448) and index.
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