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El. knyga: Medical Billing & Coding Demystified, 2nd Edition

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  • Formatas: 304 pages
  • Serija: Demystified
  • Išleidimo metai: 22-Nov-2015
  • Leidėjas: McGraw-Hill Professional
  • Kalba: eng
  • ISBN-13: 9780071849333
Kitos knygos pagal šią temą:
Medical Billing & Coding Demystified, 2nd EditionDidesnis paveikslėlis
  • Formatas: 304 pages
  • Serija: Demystified
  • Išleidimo metai: 22-Nov-2015
  • Leidėjas: McGraw-Hill Professional
  • Kalba: eng
  • ISBN-13: 9780071849333
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Completely updated to reflect the massive changes to healthcare law!

Medical Billing and Coding Demystified clearly explains the practices used by medical offices, hospitals, and healthcare facilities to encode medical services in order to receive payment from government agencies and insurance companies. Like other entries in this bestselling series, this self-teaching guide uses a building-block approach that allows readers to learn at their own pace and test themselves along the way. No previous medical or accounting training or experience is necessary to benefit from Medical Billing and Coding Demystified, and the book can be used as a classroom textbook or as a complement to larger texts.

This new edition offers detailed coverage of the sweeping revisions that have taken place in healthcare law, including the transition from ICD9 to ICD10 coding and the Patient Protection and Affordable Healthcare Acts. It also includes an important overview of medical billing software.





Includes valuable learning aids such as end-of-chapter quizzes, a final exam, and key points Different from similar books on the market in that it explains basic medical concepts enabling the reader to actually understand the procedures and tests they are billing and coding for
Introduction xi
Chapter 1 Introduction to Medical Billing and Coding
1(24)
1 The Business of Healthcare
2(1)
2 The Economics of Healthcare
3(4)
3 The Money Game
7(2)
4 The Marketing Game
9(1)
5 A Brief Look Back at Healthcare
10(8)
6 Medical Insurance Specialist
18(7)
Chapter 2 Ethical and Legal Aspects of Medical Billing
25(22)
1 Insight Into Medical Billing
26(1)
2 Ethics and Medical Billing
26(3)
3 Legal Aspects of Medical Billing
29(1)
4 Civil Law
30(3)
5 Contracts
33(2)
6 Types of Civil Law
35(2)
7 The Feasances
37(1)
8 The Four Ds of Negligence
38(1)
9 Types of Criminal Law
39(1)
10 Confidentiality
40(7)
Chapter 3 Medical Terminology and Procedures
47(22)
1 Insight Into Medical Terminology and Procedures
48(1)
2 The Secret to Understanding Medical Language
48(2)
3 Mastering Medical Terminology
50(3)
4 Medical Tests, Procedures, and Treatments
53(16)
Chapter 4 Medical Office Procedures
69(22)
1 Behind the Scenes
70(4)
2 The Healthcare Team
74(3)
3 Medical Office Procedures
77(2)
4 Telephone Calls
79(4)
5 The Answering Service
83(1)
6 Making Calls on Behalf of the Medical Practice
84(1)
7 Medical Records
84(7)
Chapter 5 Introduction to Procedural Coding
91(16)
1 Here's How Coding Works
92(1)
2 Getting Paid
93(1)
3 The Healthcare Common Procedure Coding System
94(1)
4 Current Procedural Terminology
94(1)
5 Inside the CPT Manual
95(1)
6 Level II National Codes
96(2)
7 ICD-10-CM
98(4)
8 Hands-On Coding
102(5)
Chapter 6 Introduction to Insurance Plans
107(18)
1 What Is Insurance?
108(1)
2 Sharing Risk
109(1)
3 How Insurers Make Money
110(1)
4 How Practitioners Make Money
111(1)
5 Healthcare Financing
112(1)
6 Health Insurance Premium
113(2)
7 Medical Coverage
115(1)
8 Assessing the Value of a Healthcare Policy
115(1)
9 Types of Healthcare Plans
116(1)
10 Types of Indemnity Insurance
117(1)
11 Types of Managed Care Plans
118(2)
12 Health Savings Accounts
120(1)
13 Auto Insurance and Healthcare
120(1)
14 Disability Insurance
120(1)
15 Workers' Compensation
121(1)
16 Liability Insurance and Healthcare
121(4)
Chapter 7 The Insurance Claim Cycle
125(28)
1 Inside the Insurance Claim Cycle
126(2)
2 Verify Insurance Information
128(1)
3 Input Patient Information
129(1)
4 Create an Encounter Form
130(2)
5 Calculate Medical Fees
132(1)
6 Preparing the Claim
133(1)
7 Send the Claim
133(1)
8 The Claim Is Received
134(1)
9 The Insurance Claim
135(5)
10 HIPAA Claims and Paper Claims
140(2)
11 Health Insurance Portability and Accounting Act
142(1)
12 Types of Health Insurance Coverage
142(11)
Chapter 8 Billing and Coding Errors: How to Avoid Them
153(10)
1 The Hidden Cost of Errors
154(2)
2 Types of Errors
156(1)
3 Dumb Mistakes
157(1)
4 Red Flags
158(1)
5 The Penalty for Coding Errors
159(4)
Chapter 9 Strategies for Handling Claim Disputes
163(16)
1 The Claim Adjudication Process
164(1)
2 The Medical Review Department
165(3)
3 Remittance Advice Confusion
168(1)
4 Explanation of Benefits Confusion
169(1)
5 Reviewing a Remittance Advice
169(1)
6 Handling Exceptions
170(9)
Chapter 10 Medical Transportation
179(12)
1 Transporting Patients
180(1)
2 Vehicle and Crew Requirements
181(1)
3 Reasonableness and Medical Necessity
181(1)
4 Ambulance Condition Codes
182(1)
5 Basic Life Support and Advanced Life Support Transportation
183(1)
6 Selecting the Correct Condition Code
184(3)
7 Transport Indicators
187(4)
Chapter 11 Medical Practice
191(26)
1 Behind the Scenes
192(2)
2 A Visit With a Practitioner
194(4)
3 Getting Sick
198(2)
4 Medication
200(5)
5 Computerization of Patient Medical Records
205(2)
6 Business of Medicine
207(10)
Chapter 12 Medical Billing Software Programs and Systems
217(12)
1 Computerization
218(1)
2 The Network Connect
219(1)
3 A Computer Program
219(1)
4 Navigating a Computer Program
220(1)
5 New Patient Entry
221(2)
6 The Encounter
223(1)
7 Posting Payment
223(1)
8 Patient Statement
224(5)
Chapter 13 Finding Employment in the Healthcare Industry
229(22)
1 Employment Prospects
230(1)
2 Healthcare Providers
231(1)
3 Insurers and Government Agencies
231(1)
4 Employers
232(1)
5 Other Career Opportunities
232(1)
6 Educational Requirements
233(1)
7 Skills and Responsibilities
233(1)
8 On the Job
234(1)
9 Self-Employment
235(2)
10 Finding a Job
237(1)
11 Why Should I Hire You?
237(1)
12 Preparing Your Resume
238(1)
13 Designing Your Resume
239(4)
14 Cover Letters
243(1)
15 Online Submission
243(1)
16 Job Search
244(1)
17 You're in the Preliminary Finals
245(1)
18 Preparing for the Interview
245(1)
19 The Interview
246(1)
20 After the Interview
247(4)
Final Exam 251(14)
Final Exam Answers 265(4)
Index 269
McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide





McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide





Jim Keogh is on the faculty of Columbia University teaching courses in its technology certification program. He has spent 15 years developing computer systems for major Wall Street firms such as Salomen, Inc. and Bear Stearns and has written several best-selling books for Prentice Hall and IDG.
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