Computers in the medical office / Susan M. Sanderson.

Includes indexes.

CONTENTS
PREFACE
Your Career in Medical Billing
Overview
Computer Supplies and Equipment
To the Student
To the Instructor
What Every Instructor Needs to Know
What?s New in the Sixth Edition?
Teaching and Learning Supplements
About the Author
WHAT EVERY STUDENT NEEDS TO KNOW
ACKNOWLEDGMENTS
HOW CAN I SUCCEED IN THIS CLASS?
PART 1 INTRODUCTION TO COMPUTERS IN THE MEDICAL OFFICE
Chapter 1 The Medical Billing Process
Step 1 Preregister Patients
Step 2 Establish Financial Responsibility for Visit
Step 3 Check in Patients
Step 4 Check Out Patients
Step 5 Review Coding Compliance
Step 6 Check Billing Compliance
Step 7 Prepare and Transmit Claims
Step 8 Monitor Payer Adjudication
Step 9 Generate Patient Statements
Step 10 Follow up Patient Payments and Handle Collections
Chapter 2 Information Technology and HIPAA
Medical Office Applications
Electronic Medical Records
Electronic Prescribing
Practice Management
Advantages of Computer Use
A Note of Caution: What Computers Cannot Do
HIPAA AND ELECTRONIC EXCHANGE OF INFORMATION
HIPAA Electronic Transaction and Code Sets Standards
Privacy Requirements
Security Requirements
PART 2 MEDISOFT ADVANCED PATIENT ACCOUNTING TRAINING
Chapter 3 Introduction to Medisoft
What is Medisoft?
How Medisoft Data are Organized and Stored
Medisoft Databases
The Student Data CD
The Medisoft Menu Bar
Exercise 3-1
The Medisoft Toolbar
Exercise 3-2
Entering and Editing Data
Changing the Medisoft Program Date
Exercise 3-3
Saving Data
Deleting Data
Using Medisoft Help
Exercise 3-4
Exercise 3-5
Exiting Medisoft
Making a Backup File While Exiting Medisoft
Exercise 3-6
Restoring the Backup File
File Maintenance Utilities
Rebuilding Indexes
Packing Data
Purging Data
Recalculating Patient Balances
CHAPTER 4 Entering Patient Information
How Patient Information is Organized in Medisoft
Entering New Patient Information
Name, Address Tab
Exercise 4-1
Other Information Tab
Payment Plan Tab
Exercise 4-2
Adding an Employer to the Address List
Exercise 4-3
Editing Patient Information
Searching for Patient Information
Search for and Field Option
Exercise 4-4
Locate Buttons Option
Exercise 4-5
On Your Own Exercises
On Your Own Exercise 1: Entering a New Patient
Chapter 4 Worksheet
Chapter 5 Entering Insurance, Account, and Condition Information
Working with Cases
When to Set Up a New Case
Case Command Buttons
Creating a New Case for a New Patient
Personal Tab
Exercise 5-1
Account Tab
Exercise 5-2
Diagnosis Tab
Exercise 5-3
Policy 1 Tab
Exercise 5-4
Policy 2 Tab
Policy 3 Tab
Condition Tab
Exercise 5-5
Miscellaneous Tab
Medicaid and Tricare Tab
Comment Tab
EDI Tab
Editing Case Information on an Established Patient
Exercise 5-6
On Your Own Exercise 2: Creating a Case for a New Patient
Chapter 6 Entering Charge Transactions and Patient Payments
Transaction Entry Overview
Patient/Account Information
Chart
Case
Totals and Charge Tabs
Charge Transactions
Buttons in the Charges Area of the Transaction Entry Dialog Box
Saving Charges
Editing Transactions
Color Coding in Transaction Entry
Exercise 6-1
Exercise 6-2
Payment/Adjustment Transactions
Entering Payments Made During Office Visits
Exercise 6-3
Exercise 6-4
Printing Walkout Receipts
Exercise 6-5
Entering Adjustments
Exercise 6-6
On Your Own Exercise 3: Enter Procedure Charges and a Patient Payment
On Your Own Exercise 4: Print a Walkout Receipt
Chapter 7 Creating Claims
Introduction to Health Care Claims
Creating Claims
Create Claims Dialog Box
Exercise 7-1
Claim Selection
Editing Claims
Carrier 1 Tab
Carrier 2 and Carrier 3 Tabs
Transactions Tab
Comment Tab
Exercise 7-2
Electronic Claims
Steps in Submitting Electronic Claims
Sending Electronic Claim Attachments Changing the Status of Claims
Exercise 7-3
On Your Own Exercise 5: Create Insurance Claims
Chapter 8 Posting Insurance Payments and Creating Patient Statements
Third-Party Reimbursement Overview
Indemnity Plan Example
Managed Care Plan Example
Medicare Participating Example
Remittance Advice Processing
Steps for Processing a Remittance Advice
Entering Insurance Carrier Payments in Medisoft
Entering Insurance Payments
Applying Insurance Payments to Charges
Exercise 8-1
Exercise 8-2
Exercise 8-3
Entering Capitation Payments and Adjustments
Exercise 8-4
Exercise 8-5
Creating Statements
Statement Management Dialog Box
Create Statements Dialog Box
Exercise 8-6
Editing Statements
General Tab
Transactions Tab
Comment Tab
Exercise 8-7
Printing Statements
Selecting a Format
Selecting the Filters and Printing Statements
Exercise 8-8
On Your Own Exercise 6: Enter Insurance Payments
On Your Own Exercise 7: Create Statements
Chapter 9 Printing Reports
Reports in the Medical Office
Day Sheets
Exercise 9-1
Exercise 9-2
Exercise 9-3
Analysis Reports
Exercise 9-4
Aging Reports
Exercise 9-5
Collection Reports
Patient Ledger Reports
Exercise 9-6
Standard Patient Lists
Custom Reports
Exercise 9-7
Exercise 9-8
Using Report Designer
Exercise 9-9
On Your Own Exercise 8: Print a Patient Day Sheet
On Your Own Exercise 9: Print a Practice Analysis Report
Chapter 10: Collections in the Medical Office
The Importance of Collections in the Medical Practice
The Patient Collection Process
Laws Governing Timely Payment of Insurance Claims
Using a Practice Management Program for Collections Activities
Exercise 10-1
Using the Collection List
Exercise 10-2
Creating Collection Letters
Exercise 10-3
Printing a Collection Tracer Report
Exercise 10-4
On Your Own Exercise 10: Print a Patient Aging Applied Report
On Your Own Exercise 11: Add an Item to the Work List
On Your Own Exercise 12: Create a Collection Letter
Chapter 11 Scheduling
Introduction to Office Hours
Overview of the Office Hours Window
Program Options
Entering and Exiting Office Hours
Entering Appointments
Exercise 11-1
Exercise 11-2
Exercise 11-3
Exercise 11-4
Searching for Available Appointment Time
Exercise 11-5
Exercise 11-6
Entering Appointments for New Patients
Exercise 11-7
Booking Repeated Appointments
Exercise 11-8
Changing or Deleting Appointments
Exercise 11-9
Creating a Recall List
Adding a Patient to the Recall List
Exercise 11-10
Creating Breaks
Exercise 11-11
Previewing and Printing Schedules
Exercise 11-12
On Your Own Exercise 13: Enter an Appointment
On Your Own Exercise 13: Change an Appointment
On Your Own Exercise 14: Print a Physician Schedule
PART 3 APPLYING YOUR KNOWLEDGE
Chapter 12 Handling Patient Records and Transactions
Exercise 12-1: Inputting Patient Information
Exercise 12-2: An Emergency Visit
Exercise 12-3: Inputting Transaction Data
Exercise 12-4: Entering a New Patient and Transactions
Exercise 12-5: Entering and Applying an Insurance Carrier Payment
Chapter 13 Setting Up Appointments
Exercise 13-1: Scheduling Appointments
Exercise 13-2: Making an Appointment Change
Exercise 13-3: Juggling Schedules
Exercise 13-4: Adding Patients to the Recall List
Exercise 13-5: Diane Hsu and Michael Syzmanski
Exercise 13-6: Changing a Transaction Record
Chapter 14 Printing Lists and Reports
Exercise 14-1: Finding a Patient?s Balance
Exercise 14-2: Printing a Schedule
Exercise 14-3: Printing Day Sheet Reports
Exercise 14-4: Creating a Patient Aging Applied Payment Report
Exercise 14-5: Adding Items to the Work List
Exercise 14-6: Creating a Practice Analysis Report
Exercise 14-7: Stewart Robertson
Exercise 14-8: Michael Syzmanski
Chapter 15 Putting it all Together
Exercise 15-1: Scheduling Appointments
Exercise 15-2: Creating Cases
Exercise 15-3: Entering Transactions
Exercise 15-4: Creating Claims
Exercise 15-5: Entering Insurance Payments
Exercise 15-6: Creating Patient Statements
Exercise 15-7: Printing Reports
Exercise 15-8: Adding Items to the Work List
Exercise 15-9: Creating Collection Letters
PART 4 SOURCE DOCUMENTS
Glossary
Index