TY - BOOK AU - Bayes,Nenna L. AU - Newby,Cynthia AU - Seggern,Janet I.B. TI - Medical insurance: an integrated claims process approach SN - 9780073374918 PY - 2012/// CY - New York PB - McGraw-Hill KW - Health insurance KW - Health insurance claims KW - United States KW - Insurance Claim Reporting KW - Insurance, Health N1 - Includes index; Introduction to the medical billing cycle -- HIPAA, HITECH, and medical records -- Patient encounters and billing information -- Diagnostic coding : introduction to ICD-9-CM and ICD-10-CM -- Procedural coding: introduction to CPT -- Procedural coding : introduction to HCPCS -- Visit charges and compliant billing -- Health care claim preparation and transmission -- Private payers/Blue Cross and Blue SHield -- Medicare -- Medicaid -- TRICARE and CHAMPVA -- Workers’ compensation and disability -- Payments (RAs/EOBs), appeals, and secondary claims -- Patient billing and collections -- Primary case studies -- RA/EOB/secondary case studies -- Hospital billing and reimbursement ER -