TY - BOOK AU - Fordney,Marilyn Takahashi TI - Insurance Handbook for the medical office SN - 0721656714 U1 - 368.38 22 PY - 1995/// CY - Philadelphia PB - W.B. Saunders KW - Health insurance KW - United States KW - Handbooks, manuals, etc KW - Medical offices KW - Management N1 - 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 ER -