Medical Insurance

Medical Insurance

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Designed for the one-semester medical insurance course, Medical Insurance provides clear, focused, and authoritative instruction on medical insurance and reimbursement, with an emphasis on electronic processing. All types of medical insurance are covered, and examples in the text represent a realistic mix of managed care and fee-based plans. The program teaches basic medical coding and coding compliance, because this knowledge is essential for ensuring maximum appropriate reimbursement for reported healthcare services. A new chapter on HIPAA features the rules on transactions and code with detailed coverage of claim transmission and remittance advice.A modifier usually affects the normal level of reimbursement for the code to which it is attached. ... frontal and lateral; repeat procedure or service by same physician The modifiers are listed in Appendix A of CPT. ... For example, a physician providing therapeutic radiology services in a hospital would report the modifier -26, anbsp;...

Title:Medical Insurance
Author: Joanne Valerius, Nenna Bayes, Cynthia Newby
Publisher:McGraw-Hill Science Engineering - 2004-02-16

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