Legal Issues
9 Legal Issues Chapter Outline Introduction Medical Ethics Medical Records Protected Health Information: The HIPAA Privacy Rule Privacy Rule HIPAA Security Rule Federal Law and State Laws State Insurance Commissions…
Diagnostic Coding: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
1 Diagnostic Coding International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Chapter Outline History Purpose Coding Compliance Contents of ICD-9-CM Tabular (Volume 1) Index (Volume 2) Volume 3 ICD-9-CM…
Insurance Claim Forms
7 Insurance Claim Forms Chapter Outline Introduction HIPAA and Electronic Claim Submission Standards for Code Sets Standards for Electronic Claims The 837P Supporting Code Sets Grouping of Information for the…
Accounts Receivable
8 Accounts Receivable Chapter Outline Introduction Pegboard Systems Computer Systems Insurance Participation Common Claim Errors Payment Responsibility Collection Policies Collection Letters Bad Debt Collection General Claims Information Medicare and Reimbursement…
Putting it All Together
10 Putting it All Together Objectives After completing this chapter, readers should be able to: Organize and process claims appropriately. Complete insurance claims based on patient demographic information. Code ICD-9-CM…
Understanding Insurance Policies
5 Understanding Insurance Policies Chapter Outline Section 1 Insurance Carriers and Policies Introduction Defining Payment Methodologies Fee Schedules Relative Value Study Usual, Customary, and Reasonable Payment Plans Ambulatory Payment Classification…
HCPCS Coding System
4 HCPCS Coding System Chapter Outline HCPCS Background Information HealthCare Common Procedure Coding System Levels of Codes HCPCS Format Types of HCPCS Level II Codes Correct Code Selection Types of…
Physical Agents
Overview Physical agents are well characterized and relatively easily measured and knowledge of exposures is important in managing the workplace Appropriate control of exposure is essential in preventing harm arising…
Occupational Cancers
Overview The overall burden of occupational cancer in Great Britain is currently around 8000 deaths and 14 000 cancer registrations per year. This represents 8% of all cancer deaths in men…
The Ageing Workforce
Overview Nearly one-fifth of all workers in the industrialized world are over 50 and the number of younger workers entering the labour force each year is declining Increasing the economic…
