Westwood College Learning Resource Center - Library
Westwood College Online Learning Resource Center
Home | Online Course Resources | Online Books and Articles | General Reference
 

HCD109 - Medical Insurance and Billing

This course covers insurance coding and claim handling and its relationship to the financial management of the medical office, including billing and basic accounting practices. Topics include the classes of health insurance contracts, terminology relating to insurance, billing and collections, and coding claims. Upon completion of this course, students will be able to abstract information from patient records and documentation in order to properly complete insurance claim forms.


 

Classes of Health Insurance Contracts

Health Care Insurance 101
A consumer’s guide to health care insurance and terminology from the Minnesota Office of the Ombudsman for Mental Health and Mental Retardation

Types of Health Plans
A brief summary of health insurance plans from the California Medical Association


Billing and Collections

Demystifying the Health Care Collection Process
Details the health care account life cycle from the Association of Credit and Collection Professionals

Summary of State Laws
A chart detailing the requirements by state for collection of bad debt from the Association of Credit and Collection Professionals.  This is a PDF document


HIPAA

Advance for Health Information Professionals
Online access to the magazine with free registration.  Includes articles on insurance, coding and billing, job line, salaries and more. 

Department of Health & Human Services
Comprehensive site from the Office of Civil Rights offers authoritative information on the regulations, how to apply the regulations, educational information and more. 

Health Information Management Information Center
Offers email newsletters on various topics, tips on coding and enforcement of the HIPAA standards

HIPAA.org
Offers links to the sites most often used for HIPAA compliance, billing and coding, and professional practice

Greater New York Hospital Association
Links to HIPAA glossary, presentations and more

Patient Privacy
Links to information on HIPAA and patient privacy

Privacy/Data Protection Project
Links and an encyclopedia from the University of Miami Miller Medical School


Tricare

Tricare
Official site sponsored by the US Dept of Defense Military Health System

Tricare Provider Information
Provider information from the official Tricare site

Tricare Provider Tips
Provider claim tips


CHAMPVA

US Department of Veteran Affairs
Manuals, news and more for providers


Additonal Sites of Interest

AHIMA
American Health Information Management Association offers resources for the ICB professional with links for professional development, HIM and jobs

American Academy of Coders
National organization for coders and billers provides certification training resources, job postings and more

American Medical Association
CPT coding and resources, ethical standards, medical liability, doctors directory

Family Practice Management Toolbox
Forms and procedures for managing a family practice from the American Academy of Family Physicians

HIMSS
The Healthcare Information and Management Systems Society offers resources for the professional development of ICB professionals as well as news and discussion on the latest trends in healthcare information systems.

National Center for Health Statistics
Primary source of statistical data in the medical field

State Health Facts
Links and information on health care in all 50 states including Medicaid, the uninsured, managed health, minority health and more from the Henry J Kaiser Family Foundation

Insurance Terminology

Definitions of Health Insurance Terms
A lengthy set of health insurance definitions from the Federal Government’s Interdepartmental Committee on Employment-based Health Insurance Surveys.  This is a PDF document

Glossary of Terms in Managed Health Care
Comprehensive glossary from Pam Pohly’s Net Guide

Individual Health Insurance Terms
A glossary from HealthInsurance.org updated in 2006


Coding Claims

HCPCS
Download Level 2 codes, forms, decision trees, regulations and more from the Centers for Medicare & Medicaid Services

ICD-9
Alphabetic online guide to ICD-9 codes

Just Coding
Links, quizzes and other resources for medical coding professionals

NCHS
Portal for the ICD coding regulations from the National Center for Health Statistics


Medicare

Medicare
Official Medicare site.  Find formularies, regulations, plan information and more.

Centers for Medicare & Medicaid Services
Manuals for providers, forms, regulations and guidelines

Federal Register
Official US government publication for rules, proposed rules, and notices of Federal agencies and organizations


Medicaid

Centers for Medicare & Medicaid Services
Manuals for providers, forms, regulations and guidelines

Federal Register
Official US government publication for rules, proposed rules, and notices of Federal agencies and organizations

Department of Health Care Policy & Financing (Colorado)
Official state agency for Medicaid services

ACS EDI Gateway (Georgia)
Healthcare provider manuals for Georgia

Georgia Health Partnership Healthcare Provider Manuals
Healthcare provider manuals

All Kids Covered (Illinois)
Provider information for Medicaid billing

Healthcare & Family Services (Illinois)
Regulations and other related publications

Texas Medicaid & Healthcare Partnership 
Provider information for those offering care in the state of Texas

Texas Health & Human Services Commission
Texas Medicaid program information

Dept of Medical Assistance Services (Virginia)
Provider manuals for Medicaid

First Health Services Corp (Virginia)



 

LIBRARY HOME | CONTACT | DISCLAIMER