LEADER 00000cam  2200000Ia 4500 
001    ocn327744464 
003    OCoLC 
005    20101220010001.0 
007    co ug|         
008    090520t20102010at ak    b    001 0 eng d 
010      2008944318 
019    244767042 
020    9781428318021 
020    142831802X 
035    (OCoLC)327744464 
035    (OCoLC)327744464|z(OCoLC)244767042 
040    EYP|beng|cEYP|dYDXCP|dCXP|dCUS|dEINCP|dBTCTA|dNRM|dEDK 
049    GQTA 
050  0 RA976|b.R53 2010 
060  4 W 15 R514c 2010 
082 04 651.504261|222 
100 1  Richards, Cynthia A. 
245 10 Coding basics :|bmedical billing and reimbursement 
       fundamentals /|cCynthia A. Richards. 
246 18 Medical billing & reimbursement fundamentals 
246 30 Medical billing and reimbursement fundamentals 
264  1 Australia ;|aClifton Park, NY :|bDelmar Cengage Learning,
       |c[2010] 
264  4 |c©2010 
300    xxiv, 310 pages ; :|billustrations, forms ;|c28 cm. +|e2 
       CD-ROM (4 3/4 in.). 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    computer disc|bcd|2rdacarrier 
490 0  Coding basics series 
500    SIMClaim student practice software, version 1.1, provides 
       practice using the CMS-1500 claim forms; Encoder Pro 
       software (30-day free trial, version 5.4.1, D2009/DELM) 
       allows user to look up ICD-9-CM, CPT, and HCPCS level II 
       codes. 
504    Includes bibliographical references (page 275) and index. 
505 0  Reviewers -- Preface -- How to use text -- 
       Acknowledgements -- 1:  Reimbursement Specialist -- Career
       as a reimbursement specialist -- Job description -- 
       Accounts receivable -- Personal qualifications -- 
       Certifications -- Job market -- 2:  Office Procedures -- 
       Office training -- Information exchange -- Medical record 
       -- Office equipment -- Office policies and HIPAA -- 
       Professionalism -- 3:  Patient Information -- Review -- 
       Clean claims -- Office dynamics -- Making the appointment 
       -- Check in -- Clinical services -- Checkout -- Claim 
       submission -- Cash flow -- 4:  CMS-1500 Form -- Patient 
       information -- CMS-1500 form -- CMS-1500 form layout -- 
       Instructions for completing the form -- CMS-1500 form 
       submission -- Multiple insurances -- 5:  Health Insurance 
       -- Reimbursement terminology -- Managed care -- Types of 
       managed care -- Credentialing -- 6:  Medicare -- Medicare 
       overview -- History of Medicare -- Medicare eligibility --
       Medicare plans -- Medigap -- Medicare as a secondary payer
       -- Medicare secondary payer questionnaire -- Medicare 
       reimbursement -- Participating physicians -- Medicare 
       rules and regulations -- Excluded services -- Rules and 
       regulations resources -- Fraud and abuse -- Reimbursement 
       process -- Billing Medicare on the CMS-1500 form -- 7:  
       Blue Cross Blue Shield, Medicaid, TRICARE, Commercial, And
       Workers' Compensation Insurances -- Blue Cross Blue Shield
       -- History of Blue Cross Shield -- Blue Cross Blue Shield 
       plans -- Physician participation -- Medicaid -- Medicaid 
       eligibility -- Covered services -- Medicaid claim 
       submission -- TRICARE -- History of TRICARE insurance -- 
       TRICARE plans -- TRICARE billing -- CHAMPVA -- Commercial 
       insurances -- Workers' compensation -- History of workers'
       compensation insurance -- Federal workers' compensation 
       programs -- State workers' compensation programs -- Office
       procedures -- Insurance summary -- 
505 0  8:  Coding Overview Of CPT And ICD-9-CM Coding -- ICD-9-CM
       coding -- History of ICD-9-CM coding -- ICD-9-CM updates -
       - ICD-10 -- ICD-9-CM manual -- Steps to coding -- Volume 2
       :  Index and tabular listings -- Volume 1:  Tabular list 
       of diseases -- ICD-9-CM guidelines -- CPT coding -- CPT 
       manual -- CPT manual format -- CPT modifiers -- CPT 
       unlisted codes -- Additional information in the CPT manual
       -- Coding with the CPT manual -- HCPCS National Level II 
       Codes -- 9:  Charge Entry -- Encounter forms -- Patient 
       flow in the medical office -- Auditing -- Documentation --
       Fraud vs abuse -- Compliance training -- 10:  Payment 
       Entry -- Payment entry -- Explanation of benefits -- 
       Payment posting -- Denials and rejections -- Secondary 
       insurances -- 11:  Problem Solving -- Understanding 
       reimbursement problems -- Appeals -- Talking with the 
       insurance company -- 12:  Aged Trial Balance Reports -- 
       Account receivable -- Aged Trial Balance Reports -- 
       Billing cycle -- Implementation of the Aged Trial Balance 
       Report -- Resulting reimbursement problems -- 13:  
       Collections -- Collections -- Payment at the time of 
       service -- Outstanding balances -- Write-offs -- 
       Collection agencies -- Federal and state collection laws -
       - 14:  Resumes And Interviews -- Resume -- Resume basics -
       - Contact information -- Objective -- Summary of 
       qualifications -- Education -- Skills -- Experience -- 
       Cover letter -- Interview -- Professional presentation -- 
       Preparing for the interview -- Interview questions -- 
       Interview process -- Thank you letter -- Appendix 1:  Case
       studies -- Appendix 2:  Internet links -- Appendix 3:  
       Forms -- Appendix 4:  Medical terminology review -- Roots,
       prefixes, and suffixes -- Roots -- Prefixes -- Suffixes --
       Glossary -- Index. 
520    From the Publisher:  Coding Basics:  Medical Billing and 
       Reimbursement Fundamentals is part of a series designed to
       provide you with the foundation to work in today's medical
       office. This installment features real-world claim forms 
       and reports for hands-on practice to build the skills you 
       need to acquire an entry-level job in today's medical 
       office. Billing and reimbursement concepts are presented 
       clearly and concisely, with opportunities for practice 
       throughout. 
538    System requirements: Computer with CD-ROM drive; Microsoft
       Windows 98 SE, Windows 2000, Windows XP, or Windows Vista;
       Pentium PC 500 MHz or higher (750 MHz recommended); 64 MB 
       of RAM (128 MB recommended); 32 MB free hard drive space; 
       monitor screen resolution 800 x 600 pixels; 16-bit color 
       (thousands of colors); mouse; printer with 16 MB memory 
       recommended. 
650  0 Medical records|xManagement. 
650  0 Medicine|vTerminology|vCode numbers. 
650  0 Nosology|vCode numbers. 
650  0 Medical claims processing industry|vCode numbers. 
650  0 Health insurance claims. 
650  0 Medical offices. 
650  0 Medical fees. 
650  0 Medicine|xPractice|xEconomic aspects. 
650  2 Healthcare Common Procedure Coding System. 
650  2 Forms and Records Control|xmethods. 
650  2 Insurance Claim Reporting|vTerminology. 
650  2 Reimbursement Mechanisms|vTerminology. 
938    YBP Library Services|bYANK|n3009836 
938    Baker and Taylor|bBTCP|nBK0007923340 
994    02|bGQT