Title
Medical Insurance Made Easy: Understanding the Claim Cycle,Used
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This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS1500 claim form with stepbystep guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to reallife billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CDROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAArelated information necessary on the job.
⚠️ WARNING (California Proposition 65):
This product may contain chemicals known to the State of California to cause cancer, birth defects, or other reproductive harm.
For more information, please visit www.P65Warnings.ca.gov.
- Q: What are the dimensions of this book? A: The book measures eight and a half inches by eleven inches and is three-fourths of an inch thick. These dimensions make it a standard size for textbooks and workbooks.
- Q: How many pages does this book have? A: This book contains five hundred sixty pages. It provides a comprehensive exploration of the medical claim cycle.
- Q: What type of binding does this book have? A: The book is bound in paperback. This makes it lightweight and flexible, suitable for easy handling.
- Q: How do I use this textbook effectively? A: To use this textbook effectively, read through each chapter and complete the workbook exercises. The companion CD-ROM offers practical examples.
- Q: Is this book suitable for beginners? A: Yes, this book is suitable for beginners. It covers basic concepts of medical coding and billing in a clear and structured manner.
- Q: What age group is this book appropriate for? A: This book is primarily intended for adults pursuing careers in medical billing and coding. It is not designed for children.
- Q: How should I care for this book? A: To care for this book, keep it in a dry environment and avoid exposure to direct sunlight. Handle it gently to prevent wear and tear.
- Q: Is this book safe for use in medical offices? A: Yes, this book is safe for use in medical offices. It emphasizes legal aspects and compliance with industry standards.
- Q: Can I store this book digitally? A: No, this book is a physical paperback edition and does not come in a digital format. However, it includes a CD-ROM with additional resources.
- Q: How can I compare this book with other medical coding textbooks? A: This book offers detailed information on the CMS-1500 claim form and includes recent updates in the insurance industry, distinguishing it from older textbooks.
- Q: What makes this book a good choice for medical billing students? A: This book is a good choice due to its comprehensive coverage of the medical claim cycle, clear explanations, and practical exercises.
- Q: What if I need help understanding a concept in the book? A: If you need help, consider reaching out to instructors or study groups. The book's examples and sidebars can also aid comprehension.
- Q: What if the book arrives damaged? A: If the book arrives damaged, contact the seller for a return or exchange. Most retailers have policies in place for such situations.
- Q: Is there a warranty for this book? A: No, books typically do not come with a warranty. However, you can check the seller's return policy for any issues.
- Q: Are there any common issues with this book? A: Common issues may include missing pages or printing errors, which can usually be resolved through the retailer's return policy.
- Q: How does this book address recent changes in the insurance industry? A: The book features updated information reflecting changes in the insurance industry, including a new chapter on UB-92 billing.