Insurance Handbook for the Medical Office

Unit One: Career Roles and Responsibilities 1. Role of an Insurance Billing Specialist 2. HIPAA Compliance in Insurance Billing Unit Two: The Claims Process 3. Basics of Health Insurance 4. Medical Documentation 5. Diagnostic Coding 6. Procedural Coding 7. The Paper Claim: CMS-1500 (02-12) 8. The Electronic Claim 9. Receiving Payments and Insurance Problem Solving 10. Office and Insurance Collection Strategies Unit Three: Health Care Payers 11. The Blue Plans, Private Insurance and Managed Care Plans 12. Medicare 13. Medicaid and Other State Programs 14. TRICARE and CHAMPVA 15. Worker's Compensation 16. Disability Income Insurance and Disability Benefit Insurance Unit Four: Inpatient and Outpatient Billing 17. Hospital Billing Unit Five: Employment 18. Seeking a Job and Attaining Professional Advancement

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