Designed for the one-semester medical insurance course, Medical Insurance provides clear, focused, and authoritative instruction on medical insurance and reimbursement, with an emphasis on electronic processing. All types of medical insurance are covered, and examples in the text represent a realistic mix of managed care and fee-based plans. The program teaches basic medical coding and coding compliance, because this knowledge is essential for ensuring maximum appropriate reimbursement for reported healthcare services. A new chapter on HIPAA features the rules on transactions and code with detailed coverage of claim transmission and remittance advice.She admitted that she falsified CT scan reports used to precertify insurance coverage for certain sinus-related surgeries. ... code Example: When a primary care physician (PCP) orders a comprehensive metabolic panel (CPT 80053), the anbsp;...
|Author||:||Joanne Valerius, Nenna Bayes, Cynthia Newby|
|Publisher||:||McGraw-Hill Science Engineering - 2004-02-16|