Billing

An Integrated Claims Process Approach Third Edition

JoanneValerius, RHIA, MPH

Chair, Information Management Department Associate Professor, College of Saint Catherine

Nenna L.Bayes, B.A., M.Ed.

Associate Professor, Ashland Community and Technical College

Cynthia Newby, CPC Janet I. B. Seggern, M.Ed., M.S., CCA

Professor of Business, Lehigh Carbon Community College

MEDICAL INSURANCE: AN INTEGRATED CLAIMS PROCESS APPROACH, THIRD EDITION Published by McGraw-Hill, a business unit of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020. Copyright © 2008 by The McGraw-Hill Companies, Inc. All rights reserved. No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written consent of The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. Some ancillaries, including electronic and print components, may not be available to customers outside the United States. This book is printed on recycled, acid-free paper containing 10% postconsumer waste. 1 2 3 4 5 6 7 8 9 0 QPD/QPD 0 9 8 7 6 ISBN 978-0-07-352191-6 MHID 0-07-352191-4 Publisher: Michelle Watnick/David T. Culverwell Senior Sponsoring Editor: Roxan Kinsey Managing Developmental Editor: Patricia Hesse Senior Marketing Manager: Nancy Bradshaw Senior Project Manager: Kay J. Brimeyer Senior Production Supervisor: Sherry L. Kane Lead Media Project Manager: Audrey A. Reiter Senior Coordinator of Freelance Design: Michelle D. Whitaker Cover/Interior Designer: Studio Montage (USE) Cover Image: Computer monitor: ©Photodisc/Vol. OS52 Compositor: Carlisle Publishing Services Typeface: 11/13 Berkeley Printer: Quebecor World Dubuque, IA The Student Data Template CD-ROM, illustrations, instructions, and exercises in MEDICAL INSURANCE: AN INTEGRATED CLAIMS PROCESS APPROACH are compatible with the...