HIPAA is introduced in Chapter 2 as well as covered in later chapters as appropriate. Compliance Tips reinforce this instruction throughout the text. Case studies, Billing and Compliance Tips, sample calculations, Tech Check, and Your Turn features reinforce student learning. A ten-step billing process is explained in the first chapter; subsequent chapters follow this structure: Step 1: Receipt of Prescription. Step 2: Patient Interview. Step 3: Filling of Prescription. Step 4: Pharmacy Claim Transmittal. Step 5: Payer Adjudication. Step 6: Point-of-Sale Patient Payment. Step 7: Calculation of Payer Claim Balance. Step 8: Accounts Receivable Follow-Up. Step 9: Payment Processing. Step 10: Collections and Problem Resolution. Online Learning Center (OLC) provides chapter-specific applications, relevant links, quizzes, and password-protected instructor materials such as PowerPoint presentations and testbanks. |