Medical Insurance Made Easy: Understanding the Claim Cycle
TABLE OF CONTENTS
1.Learning to Speak the Language
2.Youa're Part of a Team
3.How the Medical Claim Cycle Works
4.CMS-1500 Claim Form
5.Basic Principles for Diagnosis Coding
6.Basic Principles for Evaluation and Management (E/M) Services
7.Basic Principles of Procedure Coding
8.Private Indemnity and Managed Care Medical Plans
9.Other Plans with Medical Coverage and Disability Plans
10.Medicare
11.Other Government Medical Plans
12.Hospital/Facility Rules
13.Reimbursement Success
14.Developing Critical Thinking Skills: Analyzing Problems and Making Decisions
Appendix ALake Eola Family Practice Associates
Appendix B 1997 Examination Tables
Appendix C Department of Insurance Guide
Appendix DQuick Guide to HIPAA for the Physiciana's Office
Glossary
Index