Medical Insurance: A Revenue Cycle Process Approach

Preface

Acknowledgments

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: Introduction to 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/BlueCross BlueShield

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

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