South Eastern Kenya University

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Medical insurance : an integrated claims process approach / Joanne Valerius ... [et al.].

Contributor(s): Material type: TextTextPublication details: Boston : McGraw Hill Higher Education, c2010.Edition: 4th edDescription: xxviii, 676 p. : col. ill. ; 27 cmISBN:
  • 9780073402031 (alk. paper)
  • 0073402036 (alk. paper)
Uniform titles:
  • Medical insurance : an integrated claims process approach
Subject(s): LOC classification:
  • HG 9383 .M4 2010
Contents:
Introduction to the medical billing process -- HIPAA and medical records -- Patient encounters and billing information -- Diagnostic coding : introduction to ICD-9-CM -- Procedural coding : introduction to CPT -- Procedural coding : introduction to HCPCS -- Visit charges and compliant billing -- Health care claim preparation and transmission -- Private payers/Blue Cross and Blue Shield -- Medicare -- Medicaid -- TRICARE and CHAMPVA -- Workers' compensation and disability -- Payments (RAs/EOBs), appeals, and secondary claims -- Patient billing and collections -- Hospital billing and reimbursement -- Primary case studies -- RA/EOB/secondary case studies.
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Includes index.

Introduction to the medical billing process -- HIPAA and medical records -- Patient encounters and billing information -- Diagnostic coding : introduction to ICD-9-CM -- Procedural coding : introduction to CPT -- Procedural coding : introduction to HCPCS -- Visit charges and compliant billing -- Health care claim preparation and transmission -- Private payers/Blue Cross and Blue Shield -- Medicare -- Medicaid -- TRICARE and CHAMPVA -- Workers' compensation and disability -- Payments (RAs/EOBs), appeals, and secondary claims -- Patient billing and collections -- Hospital billing and reimbursement -- Primary case studies -- RA/EOB/secondary case studies.

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