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
Table of Contents
Part 1 WORKING WITH MEDICAL INSURANCE AND BILLING
Chapter 1 Introduction to the Medical Billing Cycle
Chapter 2 Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients’ Health Information
Chapter 3 Patient Encounters and Billing Information
Part 2 CLAIM CODING
Chapter 4 Diagnostic Coding: ICD-10-CM
Chapter 5 Procedural Coding: CPT and HCPCS
Chapter 6 Visit Charges and Compliant Billing
Part 3 CLAIMS
Chapter 7 Health Care Claim Preparation and Transmission
Chapter 8 Private Payers/Blue Cross Blue Shield
Chapter 9 Medicare
Chapter 10 Medicaid
Chapter 11 TRICARE and CHAMPVA
Chapter 12 Workers’ Compensation and Disability/Automotive Insurance
Part 4 CLAIM FOLLOW-UP AND PAYMENT PROCESSING
Chapter 13 Payments (RAs), Appeals, and Secondary Claims
Chapter 14 Patient Billing and Collections
Chapter 15 Primary Case Studies
Chapter 16 RA/Secondary Case Studies
Part 5 HOSPITAL SERVICES
Chapter 17 Hospital Billing and Reimbursement
Chapter 18 Diagnostic Coding: Introduction to ICD-9-CM and ICD-10-CM Available at www.mcgrawhillcreate.com
2014