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Computers in the Medical Office - With CD

Computers in the Medical Office - With CD - 5th edition

ISBN13: 978-0073112138

Cover of Computers in the Medical Office - With CD 5TH 07 (ISBN 978-0073112138)
ISBN13: 978-0073112138
ISBN10: 0073112135
Cover type: Paperback
Edition/Copyright: 5TH 07
Publisher: McGraw-Hill Publishing Company
Published: 2007
International: No

List price: $144.00

Computers in the Medical Office - With CD - 5TH 07 edition

ISBN13: 978-0073112138

Susan M. Sanderson

ISBN13: 978-0073112138
ISBN10: 0073112135
Cover type: Paperback
Edition/Copyright: 5TH 07
Publisher: McGraw-Hill Publishing Company

Published: 2007
International: No

Computers in the Medical Office, Fifth Edition offers medical office training using full-featured, state-of-the-art software and current, realistic medical office cases while building transferable computerized medical billing and scheduling skills. Students who complete this course will learn the appropriate terminology and skills to use any patient billing software program with minimal additional training. This text/workbook introduces and simulates medical office billing situations using Medisoft Advanced Version 11, the widely used medical office software program. As students progress through Medisoft, they learn to gather patient information, schedule appointments, and enter transactions. Information in the text contains updated HIPAA standards for privacy, security, transactions, and code sets. This text/workbook is written for those enrolled in community colleges, technical institutes, and career colleges seeking jobs in health information management, medical billing, and medical office assisting. Its practical, systematic approach is based on real-world medical office activities. The text and software work together to give the student a solid background to work in the medical office industry.
Updated Government Regulations: The Fifth Edition teaches the most recent HIPAA standards for privacy, security, transaction and code sets.
Use of MediSoft Advanced v.11: This software is widely used in medical offices. Skills learned through use of this program in conjunction with Computers in the Medical Office provide students with readily transferable skills for other similar software programs. This software is available to adopters of the book through McGraw-Hill.
New Material: Chapter 10, ''Managing Collections'', reflects a new feature in MediSoft Advanced. Hands-on case studies with realistic mix of HMO, PPO, and fee-for-service included earlier in the text. New - ''On Your Own'' hands-on exercises Exercise(s) in each chapter offer guided instruction, and proceed from simple to complex. At the end of each chapter, new ''On Your Own'' exercises provide students with the opportunity to practice applying what they learned in the chapter without guided instruction.
Student books include a CD-ROM that contains the database students need to complete exercises. Students must have access to Medisoft Version 11, either in the classroom or lab or the At-Home version. Access to the Online Learning Center provides additional learning resources for the student.
The Instructor's Manual comes with an Instructor Productivity Center in CD-ROM format that provides test banks and PowerPoint TM slides. The Classroom Performance System in-class quizzing and classroom management system is also available. The Online Learning Center also has resources for the instructor. Additionally, instructors can use Capstone Billing Simulation, Fourth Edition, a detailed medical practice simulation, as a follow-up to Computers in the Medical Office. Capstone also uses Medisoft Version 11 throughout, and comes with a CD-ROM.

New Features

  • The sequence of the text has been changed to match a patient's visit to a doctor's office.
  • Outstanding New Design, using full-color graphics in screen captures and other book features.
  • Billing Cycle Overview in chapter 1 gives students the "big picture" needed to put computing procedures in context.
  • On Your Own Exercises, a new feature, allow students to set up and work problems themselves.
  • Collections are covered in the new chapter 10, allowing students to explore this important part of the billing cycle.
  • Posting EOBs (Explanation of Benefits) is emphasized, with numerous examples now provided.
  • Medisoft version 11 is used in the new edition, providing an up-to-date approach to medical office computing and software use.

Table of Contents


Chapter 1 The Medical Office Billing Process

Step 1 Preregister Patients
Step 2 Establish Financial Responsibility for Visit
Step 3 Check in Patients
Step 4 Check Out Patients
Step 5 Review Coding Compliance
Step 6 Check Billing Compliance
Step 7 Prepare and Transmit Claims
Step 8 Monitor Payer Adjudication
Step 9 Generate Patient Statements
Step 10 Follow up Patient Payments and Handle Collections

Chapter 2 Information Technology and HIPAA

Medical Office Applications
Electronic Medical Records
Electronic Prescribing
Practice Management
Advantages of Computer Use
A Note of Caution: What Computers Cannot Do
HIPAA and Electronic Exchange of Information
HIPAA Electronic Transaction and Code Sets Standards
Privacy Requirements
Security Requirements


Chapter 3 Introduction to Medisoft

What is Medisoft?
How Medisoft Data are Organized and Stored
Medisoft Databases
The Student Data CD
Starting Medisoft and Loading Practice Data
The Medisoft Menu Bar
The Medisoft Toolbar
Entering and Editing Data
Changing Dates in Medisoft
Saving Data
Deleting Data
Using Medisoft Help
Exiting Medisoft
Making a Backup File While Exiting Medisoft
File Maintenance Utilities
Rebuilding Indexes
Packing Data
Purging Data
Recalculating Patient Balances

Chapter 4 Entering Patient Information

How Patient Information is Organized in Medisoft
Entering New Patient Information
Name, Address Tab
Other Information Tab
Payment Plan Tab
Adding an Employer to the Address List
Searching for Patient Information
Search for and Field Option
Locate Buttons Option: Field Value, Search Type, Fields
Editing Patient Information
On Your Own Exercises
On Your Own Exercise 1: Entering a New Patient

Chapter 5 Entering Insurance, Account, and Condition Information

Working with Cases
When to Set Up a New Case
Case Command Buttons
Creating a New Case for a New Patient
Personal Tab
Account Tab
Diagnosis Tab
Policy 1 Tab
Policy 2 Tab
Policy 3 Tab
Condition Tab
Miscellaneous Tab
Medicaid and Tricare Tab
Comment Tab
Editing Case Information on an Established Patient
On Your Own Exercise 2: Creating a Case for a New Patient

Chapter 6 Entering Charge Transactions and Patient Payments

Transaction Entry Overview
The Transaction Entry Dialog Box
Patient/Account Information
Charge Transactions
Color Coding in Transaction Entry
Payment/Adjustment Transactions
Entering Payments Made During Office Visits
Printing Walkout Receipts
On Your Own Exercise 3: Enter Procedure Charges and a Patient Payment
On Your Own Exercise 4: Print a Walkout Receipt

Chapter 7 Creating Claims

Introduction to Health Care Claims
Creating Claims
Create Claims Dialog Box
Claim Selection
Editing Claims
Carrier 1 Tab
Carrier 2 and Carrier 3 Tabs
Transactions Tab
Comment Tab
Electronic Claims
Steps in Submitting Electronic Claims
Sending Electronic Claim Attachments
Changing the Status of Claims
On Your Own Exercise 5: Create Insurance Claims

Chapter 8 Posting Insurance Payments and Creating Patient Statements

Third-Party Reimbursement Overview
Remittance Advice (RA) Processing
Steps for Processing a Remittance Advice
Entering Insurance Carrier Payments in Medisoft
Entering Insurance Payments
Applying Insurance Payments to Charges
Entering Capitation Payments and Adjustments
Creating Statements
Statement Management Dialog Box
Create Statements Dialog Box
Editing Statements
General Tab
Transactions Tab
Comment Tab
Printing Statements
Selecting a Format
Selecting the Filters and Printing Statements
On Your Own Exercise 6: Enter Insurance Payments
On Your Own Exercise 7: Create Statements

Chapter 9 Printing Reports

Reports in the Medical Office
Day Sheets
Analysis Reports
Aging Reports
Collection Reports
Patient Ledger Reports
Custom Reports
Using Report Designer
On Your Own Exercise 8: Print a Patient Day Sheet
On Your Own Exercise 9: Print a Practice Analysis Report

Chapter 10: Collections in the Medical Office

The Importance of Collections in the Medical Practice
The Patient Collection Process
Laws Governing Timely Payment of Insurance Claims
Using a Practice Management Program for Collections Activities
Using the Work List
Creating Collection Letters
Printing a Collection Tracer Report
On Your Own Exercise 10: Print a Patient Aging Applied Report
On Your Own Exercise 11: Add an Item to the Work List
On Your Own Exercise 12: Create a Collection Letter

Chapter 11 Scheduling

Introduction to Office Hours
Overview of the Office Hours Window
Program Options
Entering and Exiting Office Hours
Entering Appointments
Searching for Available Appointment Time
Entering Appointments for New Patients
Booking Repeated Appointments
Changing or Deleting Appointments
Creating a Recall List
Adding a Patient to the Recall List
Creating Breaks
Previewing and Printing Schedules
On Your Own Exercise 13: Enter an Appointment
On Your Own Exercise 14: Change an Appointment
On Your Own Exercise 15: Print a Physician Schedule


Chapter 12 Handling Patient Records and Transactions

Inputting Patient Information
An Emergency Visit
Inputting Transaction Data
Entering a New Patient and Transactions
Entering and Applying an Insurance Carrier Payment

Chapter 13 Setting Up Appointments

Scheduling Appointments
Making an Appointment Change
Juggling Schedules
Adding Patients to the Recall List
Diane Hsu and Michael Syzmanski
Changing a Transaction Record

Chapter 14 Printing Lists and Reports

Finding a Patient's Balance
Printing a Schedule
Printing Day Sheet Reports
Creating a Patient Aging Applied Payment Report
Adding Items to the Work List
Creating a Practice Analysis Report
Stewart Robertson
Michael Syzmanski

Chapter 15 Putting it all Together

Scheduling Appointments
Creating Cases
Entering Transactions
Creating Claims
Entering Insurance Payments
Creating Patient Statements
Printing Reports
Adding Items to the Work List
Creating Collection Letters