The Physician Billing Process

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The Physician Billing Process

Author : Deborah L. Walker
Publisher : Medical Group Management Assn
ISBN 13 : 9781568292304
Total Pages : 274 pages
Book Rating : 4.2/5 (923 download)

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Book Synopsis The Physician Billing Process by : Deborah L. Walker

Download or read book The Physician Billing Process written by Deborah L. Walker and published by Medical Group Management Assn. This book was released on 2004 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance.

The Physician Billing Process

Author : Deborah Walker Keegan
Publisher : Mgma
ISBN 13 : 9781568293394
Total Pages : 428 pages
Book Rating : 4.2/5 (933 download)

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Book Synopsis The Physician Billing Process by : Deborah Walker Keegan

Download or read book The Physician Billing Process written by Deborah Walker Keegan and published by Mgma. This book was released on 2009-02 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Full of new, innovative tools, techniques, policies and procedures, and advanced practices that allow you to diagnose and treat your revenue cycle and ensure a financially healthy bottom line. The depth and magnitude of change in health care reimbursement means that your medical practice cannot rely on the same old billing methods. Anything less than optimal performance from your billing office reduces cash flow and costs you money. The authors present cutting edge strategies to meet today s reimbursement challenges and improve the profitability of your medical practice. The authors lay out real life business practices that can be adopted tomorrow in your medical practice, including how to: Decipher consumer-directed health plans; Conduct patient financial clearance; Segment patients in terms of financial risk; Staff to effectively conduct front-end and back-end billing; Capture increased revenue at the point of care; Understand real-time claims adjudication; Shrink your collections cycle; Position your practice for pay-for-performance; Work and prevent costly claim denials and rework; Code appropriately to ensure your fair share of differential payer reimbursement; Leverage multiple technologies; and Perform a cost/benefit analysis of your revenue cycle.

The Physician Billing Process

Author : Deborah Walker Keegan
Publisher : Medical Group Management Association/Center for Research in Ambulatory Health Care Administration
ISBN 13 : 9781568294940
Total Pages : 421 pages
Book Rating : 4.2/5 (949 download)

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Book Synopsis The Physician Billing Process by : Deborah Walker Keegan

Download or read book The Physician Billing Process written by Deborah Walker Keegan and published by Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2016 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition of the MGMA bestseller on physician billing process and revenue cycle management is a completely revised, comprehensive manual. Delivering proven solutions to optimize your revenue cycle, this professional fee billing primer is business-critical whether you're new to managing the revenue cycle or a seasoned professional.

The Basics of Medical Billing

Author : Alice Scott
Publisher :
ISBN 13 : 9781434890528
Total Pages : 0 pages
Book Rating : 4.8/5 (95 download)

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Book Synopsis The Basics of Medical Billing by : Alice Scott

Download or read book The Basics of Medical Billing written by Alice Scott and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revised in 2016! This no nonsense book tells you all you need to know to understand medical billing. Written by a mother/daughter team who have been running a medical billing service since 1994 it contains the facts without the fluff. Revised in June 2010 to almost double the content. It contains information about primary, secondary and tertiary claims, participation with insurance carriers, indemnity, hmos, ppos, eops, Medicare, Medicaid, Medicare hmos, workers comp, no fault, NPI numbers, copays, coinsurance, deductibles, patient billing, fraud, HIPAA, audits, overpayments and much more. A must read for every member of the staff in the doctor's office. Whether you need to improve office efficiency, improve the cash flow, or just understand the medical billing process better, this book is for you.

FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA

Author : Cynthia Newby
Publisher : McGraw-Hill Science/Engineering/Math
ISBN 13 : 9780073402017
Total Pages : 352 pages
Book Rating : 4.4/5 (2 download)

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Book Synopsis FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA by : Cynthia Newby

Download or read book FROM PATIENT TO PAYMENT: Insurance Procedures for the Medical Office-AAA written by Cynthia Newby and published by McGraw-Hill Science/Engineering/Math. This book was released on 2009-02-04 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: From Patient to Payment: Insurance Procedures for the Medical Office, provides a practical, focused overview of medical insurance and billing. Each chapter is structured to give students a hands-on, practical approach to understanding and working with claims, both paper and electronic, and the medical billing process. This text is precisely tailored for a brief introduction, as the fundamental understanding of coding and claim filing principles is the goal. Incorporated are the latest HIPAA forms and regulations, medical coding, and electronic claims in a clear and focused program. It equips students with the basics of preparing correct health care claims, and provides a brief introduction to Medisoft Patient Billing software V14 , which can be used to complete claims.

Newman's Billing and Coding Specialist Study Guide

Author : Xaiver Newman
Publisher : CreateSpace
ISBN 13 : 9781493712816
Total Pages : 216 pages
Book Rating : 4.7/5 (128 download)

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Book Synopsis Newman's Billing and Coding Specialist Study Guide by : Xaiver Newman

Download or read book Newman's Billing and Coding Specialist Study Guide written by Xaiver Newman and published by CreateSpace. This book was released on 2012-01-01 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical coding professionals provide a key step in the medical billing process. Every time a patient receives professional health care in a physician's office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must document the services provided. The medical coder will abstract the information from the documentation, assign the appropriate codes, and create a claim to be paid, whether by a commercial payer, the patient, or CMS. While the medical coder and medical biller may be the same person or may work closely together to make sure all invoices are paid properly, the medical coder is primarily responsible for abstracting and assigning the appropriate coding on the claims. In order to accomplish this, the coder checks a variety of sources within the patient's medical record, (i.e. the transcription of the doctor's notes, ordered laboratory tests, requested imaging studies and other sources) to verify the work that was done. Then the coder must assign CPT codes, ICD-9 codes and HCPCS codes to both report the procedures that were performed and to provide the medical biller with the information necessary to process a claim for reimbursement by the appropriate insurance agency. This text is intended to dispel any ambiguity prior to taking your national certification. This text contains over 400 preparatory examination questions, covering ICD-9, ICD-10, Revenue cycle, Medical report extrapolation assignments, HCPCS, UB04, and CPT.

Medical Billing & Coding For Dummies

Author : Karen Smiley
Publisher : John Wiley & Sons
ISBN 13 : 1119625440
Total Pages : 355 pages
Book Rating : 4.1/5 (196 download)

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Book Synopsis Medical Billing & Coding For Dummies by : Karen Smiley

Download or read book Medical Billing & Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2019-12-05 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

Understanding Hospital Billing and Coding

Author : Debra P. Ferenc
Publisher : Elsevier Health Sciences
ISBN 13 : 1455723630
Total Pages : 626 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Understanding Hospital Billing and Coding by : Debra P. Ferenc

Download or read book Understanding Hospital Billing and Coding written by Debra P. Ferenc and published by Elsevier Health Sciences. This book was released on 2013-02-26 with total page 626 pages. Available in PDF, EPUB and Kindle. Book excerpt: A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.

A Guide to Health Insurance Billing

Author : Marie A Moisio, M.A., R.H.I.A.
Publisher : Cengage Learning
ISBN 13 : 9781285193588
Total Pages : 0 pages
Book Rating : 4.1/5 (935 download)

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Book Synopsis A Guide to Health Insurance Billing by : Marie A Moisio, M.A., R.H.I.A.

Download or read book A Guide to Health Insurance Billing written by Marie A Moisio, M.A., R.H.I.A. and published by Cengage Learning. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A Guide to Health Insurance Billing" takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material. An introduction to the new coding systems, ICD-10. ICD-9-CM and CPT coding systems are explained using the most current information Health insurance simulation and coding exercises put users in a realistic insurance billing environment Managed care and its impact on health insurance billing is covered in a special chapter Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission (KEYWORDS: insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance).

Medical Insurance Made Easy

Author : Jill Brown
Publisher : W B Saunders Company
ISBN 13 : 9781455734283
Total Pages : 560 pages
Book Rating : 4.7/5 (342 download)

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Book Synopsis Medical Insurance Made Easy by : Jill Brown

Download or read book Medical Insurance Made Easy written by Jill Brown and published by W B Saunders Company. This book was released on 2005-12-13 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a Pageburst digital textbook; This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.

The How-to Guide to Home Health Billing

Author : Marylynne Maloney
Publisher : Beacon Health, a Division of Blr
ISBN 13 : 9781601469311
Total Pages : 0 pages
Book Rating : 4.4/5 (693 download)

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Book Synopsis The How-to Guide to Home Health Billing by : Marylynne Maloney

Download or read book The How-to Guide to Home Health Billing written by Marylynne Maloney and published by Beacon Health, a Division of Blr. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Make sure home health billing staff is well trained Home health care billing is a complicated task. Make sure that you are receiving all the payment you've earned, with accurate, compliant, and competent billing practices. The How-to Guide for Home Health Billing is your comprehensive guide to the many complex elements involved., helping you to provide the best training possible to billing staff and those who impact billing. You'll increase competence and confidence about billing requirements and practices. This book will help you: * Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, on collaborating to ensure billing accuracy. * Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments. * The guide will give you the practical "nuts and bolts" education and information you need by taking difficult concepts and explaining them in an easy to understand way. * This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing.

Patient Access

Author : Elizabeth W. Woodcock
Publisher : Medical Group Management Association/Center for Research in Ambulatory Health Care Administration
ISBN 13 : 9781568295336
Total Pages : 235 pages
Book Rating : 4.2/5 (953 download)

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Book Synopsis Patient Access by : Elizabeth W. Woodcock

Download or read book Patient Access written by Elizabeth W. Woodcock and published by Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2017 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by It's your call / Elizabeth W. Woodcock, Deborah Walker Keegan. c2013.

Handling the Medical Claim

Author : Catherine Cochran
Publisher : CRC Press
ISBN 13 : 1439856257
Total Pages : 239 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Handling the Medical Claim by : Catherine Cochran

Download or read book Handling the Medical Claim written by Catherine Cochran and published by CRC Press. This book was released on 2017-07-27 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a doctor sees a patient, how does the doctor‘s office get paid? If a claim for a service or procedure provided is denied, how does the doctor‘s office get the patient‘s insurance company to pay? Handling the Medical Claim: An 8-Step Guide on "How To" Correct and Resolve Claim Issues explains from beginning to end how to bill and collect on cla

Guide to Medical Billing

Author : Sharon Brown
Publisher : Prentice Hall
ISBN 13 : 9780135041376
Total Pages : 0 pages
Book Rating : 4.0/5 (413 download)

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Book Synopsis Guide to Medical Billing by : Sharon Brown

Download or read book Guide to Medical Billing written by Sharon Brown and published by Prentice Hall. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For all courses in medical billing, medical coding, and/or medical insurance, in any institution or environment. This unique textbook/workbook brings together all the theory and practical skills students need to succeed as medical billers. After introducing students to the medical practice, it presents in-depth coverage of every common medical billing procedure and practice used in both medical offices and hospitals. This edition includes extensive new coverage of transitioning to ICD-10-CM from ICD-9-CM in medical offices, and using the newer UB-04 form in hospitals. Coverage also includes: Current Procedural Terminology (CPT(R)) coding, stress and time management, CMS-1500 forms and medical procedures, hospital procedures, basic office functions and communications, and much more. To enhance understanding and retention, the text uses proven pedagogical features, including learning objectives, key terms and definitions, critical thinking questions, in-text chapter activities simulating professional practice, and additional end-of-chapter exercises.

Mastering the Reimbursement Process

Author : L. Lamar Blount
Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 228 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Mastering the Reimbursement Process by : L. Lamar Blount

Download or read book Mastering the Reimbursement Process written by L. Lamar Blount and published by American Medical Association Press. This book was released on 1998 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rev. ed. of: Mastering the reimbursement process / Curtis J. Udell, Susan E. Garrison, Deane R. Ferguson. 1996.

Get the Money in the Door

Author : Sarah J. Holt
Publisher : Mgma
ISBN 13 : 9781568293400
Total Pages : 140 pages
Book Rating : 4.2/5 (934 download)

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Book Synopsis Get the Money in the Door by : Sarah J. Holt

Download or read book Get the Money in the Door written by Sarah J. Holt and published by Mgma. This book was released on 2010 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: "An insurance primer and personal handbook for insurance staff, a teaching and hiring tool for managers with direct responsibility for insurance departments, and a resource for medical practice executives who need to be aware of what insurance department employees must know to maximize their role in the revenue cycle"--Provided by publisher.

Medical Insurance: An Integrated Claims Process Approach

Author : Joanne Valerius
Publisher : Career Education
ISBN 13 : 9780073402031
Total Pages : 0 pages
Book Rating : 4.4/5 (2 download)

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Book Synopsis Medical Insurance: An Integrated Claims Process Approach by : Joanne Valerius

Download or read book Medical Insurance: An Integrated Claims Process Approach written by Joanne Valerius and published by Career Education. This book was released on 2009-01-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fourth edition of Medical Insurance: An Integrated Claims Process Approach is designed for medical insurance courses. The textbook provides medical assisting, medical insurance, and health information technology students with the knowledge and skills needed to successfully perform insurance and billing related duties. The chapters’ organization follows the medical billing process to enhance learning, moving from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. Every chapter has extensive illustrations, forms, and exercises to develop the required competencies as well as exercises to improve underlying essential math and communications skills. This text also provides a fundamental understanding of diagnostic and procedural coding needed to submit claims in compliance with payers’ requirements. New for this edition is a text-specific workbook which provides both review and applications of each textbook chapter.