Chapter 4 of 6 · Medical Office Assistant
Medical Economics, Billing, and Coding
34 lessons in this chapter. Work through them in order, or jump to the one you need.
- Revenue Cycle Management
- Patient Accounts, Charges, Payments, and Adjustments
- Accounts Receivable and Aging Reports
- Daily Financial Workflow, Controls, and Reconciliation
- Patient Billing, Payment Plans, and Price Transparency
- ICD-10-CM Purpose and Structure
- Alphabetic Index and Tabular List
- Code Specificity, Laterality, and Placeholders
- Excludes and Includes Notes
- Medical Necessity, Documentation, and Querying
- Code Assignment Principles and Compliance
- CPT Purpose and Structure
- HCPCS Level II Purpose
- Evaluation and Management Coding Concepts
- Modifiers
- Supplies and Durable Medical Equipment Concepts
- Bundling and Unbundling Concepts
- Computer-Assisted Coding and Licensing Limitations
- Medical Necessity in Coding and Billing
- Upcoding and Downcoding
- Unbundling and Duplicate Billing
- False Claims and Documentation Integrity
- Compliance Programs and Audit Readiness
- Exclusion, Sanctions, and Reporting Concerns
- Error, Waste, Abuse, and Fraud Distinctions
- Medicare and Medicaid
- Commercial Insurance, HMO, PPO, and Managed Care
- Copayments, Deductibles, and Coinsurance
- Prior Authorization and Referrals
- Encounter Forms and Claims Generation
- Electronic Claims Submission and Status
- Explanation of Benefits and Remittance Advice
- Claim Denials and Appeals
- Patient Responsibility and Payer Variation