000 03265cam a22004098i 4500
001 22751188
003 OSt
005 20240215135447.0
008 220815s2024 nyu 001 0 eng
010 _a 2022036996
020 _a9781265166717
_q(bound edition ;
_qacid-free paper)
020 _a1265166714
_q(bound edition ;
_qacid-free paper)
020 _a9781266269578
_q(loose-leaf edition ;
_qacid-free paper)
020 _a1266269576
_q(loose-leaf edition ;
_qacid-free paper)
020 _z9781266269400
_q(ebook other)
020 _z9781266283246
_q(ebook)
040 _aDLC
_beng
_erda
_cDLC
042 _apcc
043 _an-us---
050 0 0 _aHG9383
_b.V45 2024
082 0 0 _a368.38/2
_223/eng/20220923
100 1 _aValerius, Joanne,
_eauthor.
245 1 0 _aMedical insurance :
_ba revenue cycle process approach /
_cJoanne D. Valerius, RHIA, MPH, Oregon Health & Science University, Nenna L. Bayes, AAS, BBA, M.Ed., CPC, Ashland Community and Technical College, Retired, Cynthia Newby, CPC, CPC-P, Amy L. Blochowiak, MBA, ACS, AIAA, AIRC, ARA, FLHC, FLMI, HCSA, HIA, HIPAA, MHP, PCS, SILA-F, Northeast Wisconsin Technical College.
250 _aNinth edition.
264 1 _aNew York, NY :
_bMcGraw Hill LLC,
_c[2024].
300 _axviii, 537 pages :
_billustrations ;
_c28 cm.
336 _atext
_btxt
_2rdacontent
337 _aunmediated
_bn
_2rdamedia
338 _avolume
_bnc
_2rdacarrier
504 _aIncludes bibliographical references and indexes.
505 _aPart 1. WORKING WITH MEDICAL INSURANCE AND BILLING -- 1. Introduction to the Revenue Cycle -- 2. Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients’ Health Information -- 3. Patient Encounters and Billing Information -- Part 2. CLAIM CODING -- 4. Diagnostic Coding: ICD-10-CM -- 5. Procedural Coding: CPT and HCPCS -- 6. Visit Charges and Compliant Billing -- Part 3. CLAIMS -- 7. Healthcare Claim Preparation and Transmission -- 8. Private Payers/ACA Plans -- 9. Medicare -- 10. Medicaid -- 11. TRICARE and CHAMPVA -- 12. Workers’ Compensation and Disability/Automotive Insurance -- Part 4. CLAIM FOLLOW-UP AND PAYMENT PROCESSING -- 13. Payments (RAs), Appeals, and Secondary Claims -- 14. Patient Billing and Collections -- 15. Primary Case Studies -- 16. RA/Secondary Case Studies -- Part 5. HOSPITAL SERVICES -- 17. Hospital Billing and Reimbursement.
520 _a"Follow the Money! Medical insurance plays an important role in the financial well-being of every healthcare business. The regulatory environment of medical insurance is now evolving faster than ever. Changes due to healthcare reform require medical office professionals to acquire and maintain an in-depth understanding of compliance, electronic health records, medical coding, and more. The eighth edition of Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue cycle steps that clearly identify all the components needed to successfully manage the medical insurance claims process. The cycle shows how administrative medical professionals "follow the money"--
_cProvided by publisher.
650 0 _aHealth insurance.
650 0 _aHealth insurance claims
_zUnited States.
650 0 _aHealth insurance
_zUnited States.
942 _2lcc
_c29
999 _c301710
_d301710