Medical Insurance Made Easy: Understanding the Claim Cycle - Softcover

Brown, Jill L.

Softcover

ISBN 10: 0721605567 ISBN 13: 9780721605562

Publisher: W B Saunders Co, 2005

Synopsis

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 CMS-1500 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 CMS-1500 claim form with step-by-step 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 real-life billing situations.
• Sidebars and Examples highlight key concepts and information related to the core text lesson.
• A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 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 UB-92 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 HIPAA-related information necessary on the job.

About this title

About the Author

Dr. Jill Brown is an Associate Professor of Management at Bentley University. She received her Ph.D. at the University of Georgia. Dr. Brown's research and teaching interests include ethics, corporate social responsibility, corporate governance and strategic leadership -- with a focus on understanding how businesses can create both financial and social value. Dr. Brown's work has been published in the Journal of Business Ethics, Organization Science, Business Ethics Quarterly, the Journal of Management Studies, the Oxford Handbook of Corporate Social Responsibility, Strategic Organization and Corporate Governance: An International Review. She is an Associate Editor for Corporate Governance: An International Review and serves on the editorial review board of Business and Society. She is an elected Representative-at-Large of the International Association of Business and Society (IABS), an international organization committed to understanding relationships between business, government and society. She also serves as an elected Representative-at-Large of the SIM (Social Issues in Management) Division at the Academy of Management. Dr. Brown has received numerous teaching and reviewing awards, including the Robert and Christine Staub Faculty Excellence Award at Lehigh University.

Edition details

• Publisher: W B Saunders Co
• Publication date: 2005
• Language: English
• ISBN 10: 0721605567
• ISBN 13: 9780721605562
• Binding: Paperback
• Edition number: 2
• Number of pages: 533