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CITATION

Burgos, Marilyn; Johnson, Donya; and Keogh, James. Medical Billing & Coding Demystified. US: McGraw-Hill Professional, 2006.

Medical Billing & Coding Demystified

Authors: Marilyn Burgos, Donya Johnson and James Keogh

Published:  November 2006

eISBN: 9780071631105 0071631100 | ISBN: 9780071472203
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  • Contents
  • Acknowledgments
  • Introduction
  • Chapter 1 Introduction to Medical Billing and Coding
  • The Economics of Healthcare
  • A Brief Look Back at Healthcare
  • Summary
  • Quiz
  • Chapter 2 Ethical and Legal Aspects of Medical Billing
  • Ethics and Medical Billing
  • Legal Aspects of Medical Billing
  • Contracts
  • Types of Criminal Law
  • Confidentiality
  • Summary
  • Quiz
  • Chapter 3 Medical Terminology and Procedures
  • The Secret to Understanding Medical Language
  • Mastering Medical Terminology
  • Strategy for Learning Medical Terminology
  • Medical Tests, Procedures, and Treatments
  • Summary
  • Quiz
  • Chapter 4 Medical Office Procedures
  • Behind the Scenes
  • The Healthcare Team
  • Medical Office Procedures
  • Telephone Calls
  • The Answering Service
  • Making Calls on Behalf of the Medical Practice
  • Medical Records
  • Summary
  • Quiz
  • Chapter 5 Introduction to Diagnostic Procedures
  • Diagnostic Procedures
  • Billing Guidelines for Outpatient Claims
  • Billing Guidelines for Inpatient Claims
  • Billing Outpatient Claims in the Real World
  • Billing Inpatient Claims in the Real World
  • Understanding Symbols, Abbreviations, and Punctuation
  • Summary
  • Quiz
  • Chapter 6 Introduction to Procedural Coding
  • Here’s How Coding Works
  • The Healthcare Common Procedure Coding System
  • Current Procedural Terminology
  • Level II National Codes
  • Hands-on Coding
  • Summary
  • Quiz
  • Chapter 7 Introduction to Insurance Plans
  • What Is Insurance?
  • Healthcare Financing
  • Health Insurance Premium
  • Assessing the Value of a Healthcare Policy
  • Types of Healthcare Plans
  • Types of Indemnity Insurance
  • Archer Medical Savings Accounts
  • Auto Insurance and Healthcare
  • Disability Insurance
  • Workers’ Compensation
  • Liability Insurance and Healthcare
  • Summary
  • Quiz
  • Chapter 8 The Insurance Claim Cycle
  • Inside the Insurance Claim Cycle
  • The Insurance Claim
  • Health Insurance Portability and Accounting Act
  • Types of Health Insurance Coverage
  • Summary
  • Quiz
  • Chapter 9 Billing and Coding Errors—How to Avoid Them
  • The Hidden Cost of Errors
  • Types of Errors
  • The Penalty for Coding Errors
  • Summary
  • Quiz
  • Chapter 10 Strategies for Handling Claim Disputes
  • The Claim Adjudication Process
  • Following up on a Claim
  • Remittance Advice
  • The Appeal
  • The Appeals Strategy
  • Summary
  • Quiz
  • Chapter 11 Medical Billing Software Programs and Systems
  • Computerization
  • A Computer Program
  • The Medical Manager
  • Summary
  • Quiz
  • Chapter 12 Finding Employment in the Healthcare Industry
  • Employment Prospects
  • Educational Requirements
  • Skills and Responsibilities
  • Finding a Job
  • Preparing Your Resume
  • Cover Letters
  • Online Submission
  • Job Search
  • You’re in the Preliminary Finals
  • Preparing for the Interview
  • The Interview
  • After the Interview
  • Summary
  • Quiz
  • Final Exam
  • Answers to Quiz and Exam Questions
  • Index