Medical Insurance: A Guide to Coding and Reimbursement

Part 1 The Health Care Environment 1 Introduction to Medical Insurance 2 HIPAA and the Legal Medical Record 3 Introduction to the Billing and Reimbursement Cycle Part 2 Physician Practice Coding and Compliance 4 Diagnostic Coding: Introduction to ICD-9-CM 5 Procedural Coding: Introduction to CPT and HCPCS 6 Coding Linkage and Compliance Part 3 Claims Processing 7 Provider Charges and Payment Methods 8 Health Care Claim Preparation and Transmission 9 Claim Adjudication, Follow-up, and Collections Part 4 Health Care Payers 10 Private Payers: Blue Cross and Blue Shield Plans, Commercial Carriers, and Managed Care Organizations 11 Medicare 12 Medicaid 13 TRICARE and CHAMPVA 14 Workers' Compensation and Disability 15 Hospital Billing and Reimbursement Guide to NDCMedisoft Appendix A Taxonomy Codes Appendix B Place of Service CodesCynthia Newby is the author of 'Medical Insurance: A Guide to Coding and Reimbursement', published 2004 under ISBN 9780072950236 and ISBN 0072950234.