Textbook for MB 265 Insurance and Reimbursement Processing\MB265 and HIT 218 Healthcare reimbursement HIT218.

Preceded by Insurance handbook for the medical office / Marilyn Takahashi Fordney. 14th edition. c2017.

Unit One: Career Role and Responsibilities -- Role of an Insurance Billing Specialist -- Privacy, Security and HIPAA -- Compliance, Fraud and Abuse -- Unit Two: Introduction to the Revenue Cycle Process -- Basics of Health Insurance -- The Blue Plans, Private Insurance, and Managed Care Plans -- Medicare -- Medicaid and other State Programs -- Tricare and Veterans’ Health Care -- Workers’ Compensation -- Disability Income Insurance and Disability Benefit Programs -- Unit Three: Documentation and Coding -- Medical Documentation and the Electronic Health Record -- Diagnostic Coding -- Procedural Coding -- Unit Four: Claims Submission in The Medical Office -- The Paper Claim CMS-1500 -- The Electronic Claim -- Unit Five: The Claim Follow Up and Payment Process Receiving Payments and Insurance Problem Solving -- Office and Insurance Collection Strategies -- Unit Six: Healthcare Facility Billing -- Ambulatory Surgical Center -- Hospital Outpatient and Inpatient Billing -- Unit Seven: Employment -- Seeking a Job and Attaining Professional Advancement