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Overview
Learn the basics of physican-based medical billing with MEDICAL BILLING 101, 2E. Clear and practical guidelines introduce job responsibilities and basic processes in the medical billing world. Case studies and software tools like SimClaim™ CMS-1500 software offer practice on actual forms to build confidence and understanding of the reimbursement process. This easy-to-use guide starts students off on the right path to becoming a medical billing professional.
- NEW to this Edition Faculty Features:
- SimClaim™ CMS-1500 form software now completely online with 20 case studies for extra practice.
- MindTap course available.
- User-friendly text clearly outlines objectives and highlights key information.
- Real medical forms such as EOBs, Superbills, and Denied Claims provide hands-on, real-world context that’s essential to mastery of medical billing.
- Detailed instructions about the revenue cycle and how to complete claim forms make it easy to think like a professional.
- Critical thinking is enhanced with case studies geared to various billing situation, including physician office visits and inpatient physician services.
- Application of concepts by working with denied claims and denials that require appeals and review of incorrect claim forms to detect errors.
2. Health Insurance and the Identification Card.
3. The Codes (CPT, HCPCS Level II, ICD-9, ICD-10 and Modifiers).
4. The Forms (Patient Registration, Superbill, Hospital Sheet).
5. The `Heart? of Medical Billing: the CMS-1500 Form.
6. Billing for Office Services and Procedures.
7. Billing for Inpatient and Nursing Facility Services.
8. Electronic Claims Submission and Clearinghouses.
9. EOBs and Payments.
10. Denials and Appeals.
11.Maintaining Accounts Receivable, Aging Reports, and Rebilling.
12.Collections and the State Insurance Commissioner.
Appendix I: SimClaim Case Studies for the CMS-1500 Form.
Appendix II: Forms.
Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.
FOR INSTRUCTORS
MindTap Medical Insurance & Coding, 2 terms (12 months) Instant Access for Clack/Renfroe's Medical Billing 101
ISBN: 9781305394346
MindTap Medical Insurance and Billing for Clack's Medical Billing 101, 2nd Edition is the digital learning solution that helps instructors engage and transform today's students into critical thinkers. Through paths of dynamic assignments and applications that you can personalize, real-time course analytics, and an accessible reader, MindTap helps you turn cookie cutter into cutting edge, apathy into engagement, and memorizers into higher-level thinkers. Access to this product is valid for 12 months of usage.
FOR STUDENTS
MindTap Medical Insurance & Coding, 2 terms (12 months) Instant Access for Clack/Renfroe's Medical Billing 101
ISBN: 9781305394346
MindTap Medical Insurance and Billing for Clack's Medical Billing 101, 2nd Edition is the digital learning solution that helps instructors engage and transform today's students into critical thinkers. Through paths of dynamic assignments and applications that you can personalize, real-time course analytics, and an accessible reader, MindTap helps you turn cookie cutter into cutting edge, apathy into engagement, and memorizers into higher-level thinkers. Access to this product is valid for 12 months of usage.