Medical Billing & Revenue Cycle Management: Compliance, Claims Processing & Reimbursement
Targeted at medical billing specialists and CPB certification candidates, Medical Billing & Revenue Cycle Management provides a comprehensive, step-by-step roadmap to the entire healthcare reimbursement lifecycle. The book explores patient registration, health insurance types (Medicare, Medicaid, Commercial), CMS-1500 and UB-04 claim forms, Explanation of Benefits (EOB) auditing, and claim denial appeal strategies. Packed with regulatory compliance standards (HIPAA, False Claims Act) and revenue cycle optimization workflows, this guide trains you to process accurate medical claims, reduce denial rates, and pass national billing certification assessments.
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