Mastering the Reimbursement Process 4th Edition

"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

"Physicians, practice managers and compliance professionals will find Mastering the Reimbursement Process and its Appendices to be an invaluable resource for achieving the proper reimbursement and reducing compliance risks." -J. William Tillet, Jr., CPA, National Director Health Care, Corporate Compliance Services, Ernst & Young LLP

Revised and updated with more than 200 pages of new information, this outstanding book guides users through the reimbursement process from start to finish. Perfect for trainers, students, and veteran reimbursement professionals alike, this Fourth Edition offers concise, informative, and easy-to-understand overviews of insurance basics, types of insurance and payers, coding systems, insurance processing, and review and appeals. The book also includes several extensive appendices of related information.

The new information includes entirely new chapters on:

• Electronic claims processing
• Compliance plans for physicians
• Privacy and confidentiality issues, including HIPAA
• new appendices on OIG Compliance and Internet Resources

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