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Comprehensive Health Insurance: Billing Coding and Reimbursement 3rd Edition Vines

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Comprehensive Health Insurance: Billing Coding and Reimbursement 3rd Edition Vines ISBN: 9780134699813 TEST BANK

Test Bank for Comprehensive Health Insurance: Billing Coding and Reimbursement, 3rd Edition, Deborah Vines, Ann Braceland, Elizabeth Rollins, Susan Miller, ISBN-10: 013445877X, ISBN-13: 9780134458779, ISBN-10: 0134699815, ISBN-13: 9780134699813

Table of Contents

SECTION I: A CAREER IN HEALTH CARE
1. Introduction to Professional Billing and Coding Careers

SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER
2. Understanding Managed Care: Insurance Plans
3. Understanding Managed Care: Medical Contracts and Ethics
4. Introduction to the Health Insurance Portability and Accountability Act (HIPAA)

SECTION III: MEDICAL CODING
5. ICD-10-CM Medical Coding
6. Introduction to CPT and Place of Service Coding
7. Coding Procedures and Services
8. HCPCS and Coding Compliance
9. Auditing

SECTION IV: MEDICAL CLAIMS
10. Physician Medical Billing
11. Hospital Medical Billing

SECTION V: GOVERNMENT MEDICAL BILLING
12. Medicare Medical Billing
13. Medicaid Medical Billing
14. TRICARE Medical Billing

SECTION VI: ACCOUNTS RECEIVABLE
15. Explanation of Benefits and Payment Adjudication
16. Refunds, Follow-Up, and Appeals

SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM
17. Workers’ Compensation