Medicaid Claims Examiner


Book Description




Medicaid Claims Examiner


Book Description




Medicaid Drug Fraud, Medical Malpractice, and Reliability of Claims Processing for Medicare


Book Description

Assesses the extent of the drug diversion problem, the reason it persists, & what actions are being taken to bring it under control. Compares the incidence & outcomes of malpractice litigation involving Medicare & Medicaid patients to that of the general population & analyzes aggregate hospital data on malpractice losses for Medicare, Medicaid, & other hospital patients. Assesses the methods being used to approve or deny Medicare Part B claims. Describes the characteristics of claims denials that are appealed & of those that are reversed. Illustrated.




Supervising Medicaid Claims Examiner


Book Description

The Supervising Medicaid Claims Examiner Passbook(R) prepares you for your test by allowing you to take practice exams in the subjects you need to study. It provides hundreds of questions and answers in the areas that will likely be covered on your upcoming exam, including but not limited to: Interviewing claimants; Medical terminology; Understanding and interpreting written material; Documents and forms; Preparing written materials; Supervision; and more.







Medicare and Medicaid


Book Description




License To Steal


Book Description

This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service—all of which have to defend themselves against fraud.





Book Description




Taking Your Place at the Table


Book Description

Taking Your Place at the Table is the first of its kind on the art of becoming an insider. It focuses closely on three topics: 1) getting to the table—moving from the outside to the inside; 2) using your insider status wisely once you get there; and 3) leaving the table gracefully when the time is right. Joseph JB Bensmihen has fine-tuned the art of getting to the table—while becoming a millionaire and a highly successful business leader. He has given hundreds of talks at a wide range of venues, from Chautauqua Institute to Yeshiva University to Friendship Circle events. At age six, he talked his way into a meeting with Canadian Prime Minister Pierre Trudeau; since then he has met with three presidents, Vice President Pence, and many senators—and has advised multiple members of Congress.




Guide to Health Claims Examining


Book Description

This comprehensive text presents the principles and theories behind health claims examining. It builds a complete understanding of all the skills necessary to process, pay, and apply claims as an examiner accurately and consistently. Highlights include: Learning objectives that identify key skills and concepts, "On the Job Now"-Professional self-assessment sections, "Practice Pitfalls"-Bad habits to avoid in the workplace, Chapter review questions and in-text exercises. This book should be used in conjunction with the workbook, The Practice of Health Claims Examining, Second Edition, which simulates daily duties as if the student were working for an insurance carrier. Book jacket.