A Guide to Health Insurance Billing

Softbound book: 576 pages + bonus CD-ROM software
ISBN 1435492986
978-1435492981
Delmar Cengage Learning
September 2010
(click below for the best currently available price for this important resource)

A Guide to Health Insurance Billing is an introduction to medical billing, covering everything from patient registration to claims submission, with an emphasis on HIPAA issues.

This valuable resource includes introductory concepts, examples, and application exercises designed to show you the basics of insurance billing. You will become familiar with health insurance terminology, understand the legal implications of insurance billing, develop a basic understanding of medical coding systems, and accurately complete insurance claim forms.

This is an entry-level book for anyone learning about the insurance billing process. It features a step-by-step guide for submitting insurance claims for commercial insurance, Blue Cross/Blue Shield, Medicare, TRICARE, CHAMPVA, and Workers' Compensation. It also includes a full introduction to the ICD-10 system. This resource introduces you to medical billing, covering everything from patient registration to claims submission. Become familiar with appropriate terminology, understand legal and regulatory guidelines, and develop an understanding of coding systems. Special features include:

Updated to include information about the UB-92 form and UB-04 form
Provides guidelines for completing blocks of the CMS-1500 form and UB-92 form
New material on HIPAA, Privacy Rule, and Security Rule
Ten new case study coding challenges
Learning objectives and key words, abbreviations, and phrases identify essential information in each chapter
Twenty case studies to be used with free CD-ROM software, complete with source documents for insurance claims submission
Three chapters dedicated to diagnostic and procedural coding
Numerous examples, tables, figures, and exercises reinforce basic concepts

Marie A. Moisio, M.A., RHIA was Associate Professor at Northern Michigan University. She retired after 15 years teaching experience in medical billing, medical coding, and health information processing. She has been a consultant for several long term care facilities and physicians offices with expertise in health information management, compliance, coding practices, auditing insurance claims, and documentation in the patients records. The author has over 25 years experience in health information management.

(information provided by the publisher)

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