Medical Insurance: An Integrated Claims Process Approach, 6/e
Joanne D. Valerius, RHIA, MPH,
Oregon Health and Science University Nenna L. Bayes, B.A. M.Ed.,
Ashland Community and Technical College Cynthia Newby, CPC, CPC-P Amy L. Blochowiak, MBA, ACS, AIAA,
Northeast Wisconsin Technical College
ISBN: 0073513717 Copyright year: 2014
The sixth edition of Medical Insurance: An Integrated Claims Process Approach emphasizes the medical billing cycle—ten 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.” Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation. This ensures that offices receive maximum, appropriate reimbursement for services provided. Each part of the book is dedicated to a section of the cycle followed by case studies to apply the skills discussed in each section.