Guide to Health Claims Examining
2nd Edition
Published on 6. November 2006
Book
Paperback/Softback
250 pages
978-0-13-219408-2 (ISBN)
Description
Health claims examining and medical billing are two of the fastest-growing employment opportunities in the United States today. Insurance companies, medical offices, hospitals and other health care providers are in great need of trained personnel to create and process claims. With the aid of this text, a student can learn the skills necessary to become a successful health claims examiner. The material has been designed to be comprehensive, yet user-friendly. The text follows a logical learning format by beginning with a broad base of information and then, step by step, following the course of a health claims from billing to examining.
More details
Edition
2nd edition
Language
English
Place of publication
United States
Publishing group
Pearson Education (US)
Target group
Professional and scholarly
Dimensions
Height: 216 mm
Width: 279 mm
Thickness: 35 mm
Weight
1229 gr
ISBN-13
978-0-13-219408-2 (9780132194082)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Other editions
New editions
Book
05/2013
3rd Edition
Pearson
€95.28
Shipment within 15-20 days
Previous edition
ICDC Publishing Inc.
Guide to Health Claims Examining
Book
05/2005
Pearson
€43.32
Article exhausted; check for reprint
Content
(NOTE: Each chapter contains Summary, Assignments, Questions for Review, and Honors for Certification.)
1. Introduction to Insurance.
2. Legal Issues.
3. Billing Forms.
4. Resource Manuals.
5. Contracts.
6. Eligibility.
7. Usual, Customary, and Reasonable.
8. Benefit Structures.
9. Cost-Containment Programs.
10. General Plan Provisions.
11. Claims Administration.
12. Effective Communication.
13. Physician's Services.
14. X-ray and Laboratory.
15. Surgery.
16. Podiatric Surgery.
17. Anesthesia.
18.HospitalServices.
19. Ambulance Expenses.
20. Durable Medical Equipment.
21. Managed Care.
22. Coordination of Benefits.
23. Medicare.
24. Medicaid.
25. Workers' Compensation.
26. Adjustments.
27. Dental Terminology.
28. Anatomy and Physiology of the Mouth.
29. Dental Services and Coding.
30. Temporomandibular Joint.
31. Dental Claim Form.
32. Dental Benefit Structures.
33. Processing Dental Claims.
1. Introduction to Insurance.
2. Legal Issues.
3. Billing Forms.
4. Resource Manuals.
5. Contracts.
6. Eligibility.
7. Usual, Customary, and Reasonable.
8. Benefit Structures.
9. Cost-Containment Programs.
10. General Plan Provisions.
11. Claims Administration.
12. Effective Communication.
13. Physician's Services.
14. X-ray and Laboratory.
15. Surgery.
16. Podiatric Surgery.
17. Anesthesia.
18.HospitalServices.
19. Ambulance Expenses.
20. Durable Medical Equipment.
21. Managed Care.
22. Coordination of Benefits.
23. Medicare.
24. Medicaid.
25. Workers' Compensation.
26. Adjustments.
27. Dental Terminology.
28. Anatomy and Physiology of the Mouth.
29. Dental Services and Coding.
30. Temporomandibular Joint.
31. Dental Claim Form.
32. Dental Benefit Structures.
33. Processing Dental Claims.