Mastering the Reimbursement Process
By DerrikKyle on February 28, 2010, 12:21 am
Product Description
This guide offers physicians and medical staff a concise, informative and easy-to-understand overview of insurance basics, types of insurance and payers, coding systems, and insurance processing. It also explains the review and appeal processes to achieve proper reimbursement and reduce compliance risks. Chapters address electronic claims processing, compliance plans for physicians, and privacy and confidentiality issues including HIPAA. The extensive appendices include information on OIG compliance and Internet resources.
Mastering the Reimbursement Process
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I ordered this textbook for school and received it in the mail very quickly. They sent me a confirmation that they were sending it, and then I got it in the mail a couple days later. The textbook was brand new and came with the plastic on.
Rating: 5 / 5
I find that this book is written in an easily understandable style, and it goes into great detail about the process of obtaining financial reimbursement for health care from insurance companies and from medicare/medicaid. For example, the reader learns the proper forms and the name of the forms to be filled out for an insurance claim, and the method of filling them out. Great detail is covered for the proper coding and billing for medicare, and the time limits for the bills to be turned in, and software that may be helpful. According to the book, most claims are denied because claim forms are not filled out in the proper manner, so called “clean” copies.
Mastering the Reimbursement Process emphasizes, too, that the health care billing is constantly changing, and it points out the web sites, telephone numbers, and government agencies that keep a biller informed of constantly changing rules and regulations for billing. This book is a valuable resource for individuals in healthcare, billing or anyone who has the need to understand in detail healthcare billing and reimbursement. It is well worth the money spent because so much information is packed in; more than a casual reading is appropriate. Moreover, it contains a huge number of referrals for further information.
Rating: 5 / 5
“Mastering the Reimbursement Process is the single best source for the physician, medical office staff, or others to get a comprehensive understanding of health insurance, claims submission, and the follow-up necessary to get paid by third parties.” – Michael T. Myers, Jr, MD, MBA, Director, Health Care Regulatory Group, PriceWaterhouseCoopers LLP
Rating: 5 / 5
With Medicare compliance and false claim risks increasing, this is a wonderful guide for Physicians and those who bill for them.
Rating: 5 / 5