Overview – Just like homeowners, life and auto, health insurance
provides some protection against the high cost of health care. In this
chapter, we provide a basic look at health insurance.
Overview – PPO or HMO? What is Medigap coverage? What are the
advantages of one type of plan over another? We will answer those questions for
you in this chapter, as we take a detailed look into the most common plan
Chapter Overview - Every health plan is written to provide a long list of benefits
and provisions. The key is to understand how these benefits will affect the
bottom line. In this chapter, we will show you how benefits really work.
Chapter Overview - There are so many different types of medical codes and all of them are critical; with no room for error. In this chapter, we will look at the various forms of coding.
Overview - What is a clean claim? This chapter is all about the standard
of clean claim and what you need to do to meet this standard every time; every
Overview – Where does a claim go after it is submitted? In this chapter,
we provide a step-by-step look at the insurance process; starting from the
patient’s initial call to schedule an appointment up until when final payment
Overview - The ultimate goal of a Medical Biller is to use their expertise
to make sure that every claim is adequately reimbursed. In this chapter, we
will look at the various forms of payment.
Overview - Failure to miss any step in the claims process could result in
payment that is less than expected. In this section, we show you how to
navigate the day-to-day processes that are critical to ensuring the best
medical and financial outcome.
Chapter Overview - Acronyms, medical terms, and abbreviations are used all of the time in the health insurance industry; it’s almost like learning a second language. In this section, you will find the most common terms and what they mean.