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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