Medical Insurance for Pharmacy Technicians

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ISBN: 9780073374161 | 0073374164
Cover: Paperback
Copyright: 2/19/2009

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Medical Insurance for Pharmacy Techniciansprovides a practical, focused overview of medical insurance and billing of prescriptions in the community pharmacy setting. Each chapter is structured to give students a hands-on, practical approach to understanding and working with prescription charges and the billing process. This text is precisely tailored for a brief introduction to the fundamental understanding of claim processing principles for pharmacy technicians...

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From Prescription to Payment: Becoming a Pharmacy Technician Insurance Specialist
The Importance of Pharmacy Benefits Medical Insurance Basics
The Pharmacy Practice Billing Cycle Procedures, Communication, and Information Technology in the Pharmacy
Billing Cycle Effects of Pharmacy Claim Errors
Medicolegal Issues and the Pharmacy Health Care Regulation Pharmacy Records HIPAA Privacy Rule HIPAA Security Rule HIPAA
Electronic Health Care Transactions and Code Sets Other Legislation
Affecting Pharmacy Fraud and Abuse Regulations
Pharmacy Question and Answers
Private Insurance Payers and Plans
Private Insurance Types of Health Plans Pharmacy Plan Benefits
Pharmacy Benefit Management Techniques Calculating Charges
Medicare Medicare Overview Medicare Part B Plans Who Pays First? Medicare Part D
Medicaid, Tricare, Champva, Workers’ Compensation, and Discount Card Programs Medicaid TRICARE and CHAMPVA Workers’
Compensation Discount Card Programs
Claim Preparation and Transmission Pricing Prescriptions Creating Claims Transmitting Claims Coordination of Benefits
Processing Claims and Appealing
Decisions Payer Adjudication of Claims Collecting Patient Point-Of-Sale Payment Pharmacy
Processing of Payer Claim Payment Balancing Transactions Appealing and Resubmitting Claims Insurer/PBM audits
Table of Contents provided by Publisher. All Rights Reserved.

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Medical Insurance for Pharmacy Technicians

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