Medical Insurance Made Easy, Understanding the Claim Cycle, 2nd Edition

Medical Insurance Made Easy

2nd Edition Understanding the Claim Cycle

By Jill Brown, RN, CPC, CPC- H, Computerized Services of Central Florida

1. Learning to Speak the Language
2. You?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 A Lake Eola Family Practice Associates
Appendix B 1997 Examination Tables
Appendix C Department of Insurance Guide
Appendix D Quick Guide to HIPAA for the Physician?s Office