Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue cycle-ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process. The cycle shows how administrative medical professionals "follow the money."

Part 1 WORKING WITH MEDICAL INSURANCE AND BILLINGChapter 1 Introduction to the Revenue Cycle Chapter 2 Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients' Health InformationChapter 3 Patient Encounters and Billing InformationPart 2 CLAIM CODINGChapter 4 Diagnostic Coding: ICD-10-CMChapter 5 Procedural Coding: CPT and HCPCSChapter 6 Visit Charges and Compliant BillingPart 3 CLAIMSChapter 7 Healthcare Claim Preparation and TransmissionChapter 8 Private Payers/ACA PlansChapter 9 MedicareChapter 10 Medicaid Chapter 11 TRICARE and CHAMPVAChapter 12 Workers' Compensation and Disability/Automotive InsurancePart 4 CLAIM FOLLOW-UP AND PAYMENT PROCESSINGChapter 13 Payments (RAs), Appeals, and Secondary ClaimsChapter 14 Patient Billing and CollectionsChapter 15 Primary Case StudiesChapter 16 RA/Secondary Case StudiesPart 5 HOSPITAL SERVICESChapter 17 Hospital Billing and Reimbursement