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Comprehensive Health Insurance - With CD

Comprehensive Health Insurance - With CD - 08 edition

ISBN13: 978-0132368155

Cover of Comprehensive Health Insurance - With CD 08 (ISBN 978-0132368155)
ISBN13: 978-0132368155
ISBN10: 0132368153
Edition: 08
Copyright: 2008
Publisher: Prentice Hall, Inc.
Published: 2008
International: No

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Comprehensive Health Insurance - With CD - 08 edition

ISBN13: 978-0132368155

Deborah Vines

ISBN13: 978-0132368155
ISBN10: 0132368153
Edition: 08
Copyright: 2008
Publisher: Prentice Hall, Inc.
Published: 2008
International: No
Summary

This book was written to provide trainees with the knowledge and skills necessary to work in a variety of medical billing and coding positions in the medical field. Easy to read and comprehend, it is designed for professionals who have not previously worked in the medical field as well as professionals who have worked in the field but have only been exposed to certain aspects of the billing process. In order to adapt to the growing number of facilities that are becoming more automated, this book not only reviews non-automated procedures but it also gives in-depth content on automated procedures. A few exciting features to this book are: Case Studieswith Critical Thinking Questions; a key terms listappears at the beginning of each chapter;Professional Tipsappear throughout the text and provide additional information related to billing and coding processes; and any material within the text that is related to HIPAA is flagged with an icon so that students can identify the ''need to know'' law.

Table of Contents

Preface Section I A Career in Healthcare CHAPTER 1: INTRODUCTION TO PROFESSIONAL BILLING AND CODING CAREERS Employment Demand Facilities Physician Practice Hospital Centralized Billing Office Job Descriptions Medical Office Assistant Medical Biller Medical Coder Registered Health Information Technicians (RHIT) Payment Poster Medical Collector Refund Specialist Insurance Verification Representative Admitting Clerk or Front Desk Representative Patient Information Clerk Professional Memberships Certification Medical Office Assistant Certification Medical Billing Certifications Medical Coding Certifications Medical Records Certification Resources Section II: Relationship between the Patient, Provider and Carrier CHAPTER 2: MANAGED CARE TERMINOLOGY The History of Healthcare in America Medical Reform Definition of Managed Health Care Managing and Controlling Cost Discounted Fees Patient Care Delivered Is Medically Necessary Care Rendered By Appropriate Provider Appropriate Medical Care in Least Restrictive Setting Withholding Providers Funds Insurance Plans Commercial Health Insurance Types of Managed Care Organizations Health Maintenance Organizations (HMO) Preferred Provider Organization (PPO) Point Of Service Options (POS) Criticism of MCOs Alternative Health Care Plans Exclusive Provider Organization (EPO) Independent Physician Association (IPA) Physician-Hospital Organization (PHO) Self-insured Employers Types of Insurance Coverage Hospital Hospital Indemnity Insurance Medical Surgical Outpatient Major Medical Special Risk Catastrophic Health Insurance Short-Term Health Insurance Cobra Insurance Full-Service Health Insurance Long-Term Care Supplemental Insurance The Provider s View of Managed Care Restrictions Opportunities Patient Care Facility Operations Collection of Funds Assignment of Benefits
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Cover of Comprehensive Health Insurance 2nd edition

Comprehensive Health Insurance - 2nd edition

ISBN13: 978-0132966894
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