Mastering the Reimbursement Process

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.