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Solutions Manual Comprehensive Health Insurance Billing, Coding & Reimbursement 2nd Edition Deborah Vines

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Solutions Manual Comprehensive Health Insurance Billing, Coding & Reimbursement 2nd Edition Deborah Vines

COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier’s decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.

Table of Contents

Chapter 1 Introduction to Professional Billing and Coding Careers
Chapter 2 Understanding Managed Care: Insurance Plans
Chapter 3 Understanding Managed Care: Medical Contracts and Ethics
Chapter 4 Introduction to the Health Insurance Portability and Accountability Act (HIPAA)
Chapter 5 ICD-9-CM Medical Coding
Chapter 6 ICD-10-CM Medical Coding
Chapter 7 Introduction to CPT® and Place of Service Coding
Chapter 8 Coding Procedures and Services
Chapter 9 HCPCS and Coding Compliance
Chapter 10 Auditing
Chapter 11 Physician Medical Billing
Chapter 12 Hospital Medical Billing
Chapter 13 Medicare Medical Billing
Chapter 14 Medicaid Medical Billing
Chapter 15 Tricare Medical Billing
Chapter 16 Explanation of Benefits and Payment Adjudication
Chapter 17 Refunds, Follow-Up, and Appeals
Chapter 18 Workers’ Compensation
Chapter 19 Electronic Medical Claims Processing

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