Medical Insurance for Pharmacy Technicians
by Liles, Janet; Newby, CynthiaEdition: 1st
Format: Paperback
Pub. Date: 2009-02-19
Publisher(s): McGraw Hill
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Summary
Medical Insurance for Pharmacy Techniciansprovides a practical, focused overview of medical insurance and billing of prescriptions in the community pharmacy setting. Each chapter is structured to give students a hands-on, practical approach to understanding and working with prescription charges and the billing process. This text is precisely tailored for a brief introduction to the fundamental understanding of claim processing principles for pharmacy technicians...
Table of Contents
| From Prescription to Payment: Becoming a Pharmacy Technician Insurance Specialist | |
| The Importance of Pharmacy Benefits Medical Insurance Basics | |
| The Pharmacy Practice Billing Cycle Procedures, Communication, and Information Technology in the Pharmacy | |
| Billing Cycle Effects of Pharmacy Claim Errors | |
| Medicolegal Issues and the Pharmacy Health Care Regulation Pharmacy Records HIPAA Privacy Rule HIPAA Security Rule HIPAA | |
| Electronic Health Care Transactions and Code Sets Other Legislation | |
| Affecting Pharmacy Fraud and Abuse Regulations | |
| Pharmacy Question and Answers | |
| Private Insurance Payers and Plans | |
| Private Insurance Types of Health Plans Pharmacy Plan Benefits | |
| Pharmacy Benefit Management Techniques Calculating Charges | |
| Medicare Medicare Overview Medicare Part B Plans Who Pays First? Medicare Part D | |
| Medicaid, Tricare, Champva, Workers’ Compensation, and Discount Card Programs Medicaid TRICARE and CHAMPVA Workers’ | |
| Compensation Discount Card Programs | |
| Claim Preparation and Transmission Pricing Prescriptions Creating Claims Transmitting Claims Coordination of Benefits | |
| Processing Claims and Appealing | |
| Decisions Payer Adjudication of Claims Collecting Patient Point-Of-Sale Payment Pharmacy | |
| Processing of Payer Claim Payment Balancing Transactions Appealing and Resubmitting Claims Insurer/PBM audits | |
| Table of Contents provided by Publisher. All Rights Reserved. |
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