From the Book - Second edition.
1. Introduction to medical billing and coding
The business of healthcare
The economics of healthcare
A brief look back at healthcare
Medical insurance specialist
2. Ethical and legal aspects of medical billing
Insight into medical billing
Ethics and medical billing
Legal aspects of medical billing
The four Ds of negligence
3. Medical terminology and procedures
Secret to understanding medical language
Mastering medical terminology
Medical tests, procedures, and treatments
4. Medical office procedures
Medical office procedures- - Telephone calls
Making call on behalf of the medical practice
5. Introduction to procedural coding
The Healthcare Common Procedure Coding System
Current procedural terminology
6. Introduction to insurance plans
How insurers make money - How practitioners make money
Assessing the value of a healthcare policy
Types of healthcare plans
Types of indemnity insurance
Types of managed care plans
Auto insurance and healthcare
Liability insurance and healthcare
7. The insurance claim cycle
HIPAA claims and paper claims
Health Insurance Portability and Accounting Act
8. Billing and coding errors : how to avoid them
Penalty for coding errors
9. Strategies for handling claim disputes
The claim adjudication process
The Medical Review Department
10. Medical transportation
Vehicle and crew requirements
Reasonableness and medical necessity
Ambulance condition codes
Basic life support and advanced life support transportation
Computerization of patient medical records
12. Medical billing software programs and systems
13. Finding employment in the healthcare industry
Insurers and government agencies
Skills and responsibilities