Insurance Guide

CHAPTER ONE: INSURANCE BASICS

Chapter 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.

CHAPTER TWO: PLANS TYPES

Chapter 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 types.

CHAPTER THREE: BENEFITS & PROVISIONS

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 FOUR: CODING

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.

CHAPTER FIVE: BILLING

Chapter 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 claim.

CHAPTER SIX: CLAIM JOURNEY - AVAILABLE IN TEXT ONLY

Chapter 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 is posted.

CHAPTER SEVEN: REIMBURSEMENT

Chapter 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.

CHAPTER EIGHT: HOW TO - AVAILABLE IN TEXT ONLY

Chapter 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 NINE: INDUSTRY INFORMATION 

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.

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