Medical Insurance: A Revenue Cycle Process Approach: 2026 Release ISE
Part 1 Working With Medical Insurance And Billing
1. Introduction to the Revenue Cycle
2. Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients Health Information
3. Patient Encounters and Billing Information
Part 2 Claim Coding
4. Diagnostic Coding: ICD-10-CM
5. Procedural Coding: CPT and HCPCS
6. Visit Charges and Compliant Billing
Part 3 Claims
7. Healthcare Claim Preparation and Transmission
8. Private Payers/ACA Plans
9. Medicare
10. Medicaid
11. TRICARE and CHAMPVA
12. Workers' Compensation and Disability/Automotive Insurance
Part 4 Claim Follow-Up and Payment Processing
13. Payments (RAs), Appeals, and Secondary Claims
14. Patient Billing and Collections
15. Primary Case Studies
16. RA/Secondary Case Studies
Part 5 Hospital Services
17. Hospital Billing and Reimbursement
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."
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