SECTION I: A CAREER IN HEALTH CARE
1. Introduction to Professional Billing and Coding Careers
SECTION II: THE RELATIONSHIP BETWEEN THE PATIENT, PROVIDER, AND CARRIER
2. Understanding Managed Care: Insurance Plans
3. Understanding Managed Care: Medical Contracts and Ethics
4. Introduction to the Health Insurance Portability and Accountability Act (HIPAA)
SECTION III: MEDICAL CODING
5. ICD-10-CM Medical Coding
6. Introduction to CPT and Place of Service Coding
7. Coding Procedures and Services
8. HCPCS and Coding Compliance
9. Auditing
SECTION IV: MEDICAL CLAIMS
10. Physician Medical Billing
11. Hospital Medical Billing
SECTION V: GOVERNMENT MEDICAL BILLING
12. Medicare Medical Billing
13. Medicaid Medical Billing
14. TRICARE Medical Billing
SECTION VI: ACCOUNTS RECEIVABLE
15. Explanation of Benefits and Payment Adjudication
16. Refunds, Follow-Up, and Appeals
SECTION VII: INJURED EMPLOYEE MEDICAL CLAIM
17. Workers' Compensation
Appendix A: Completing the CMS-1500 Form for Physician Outpatient Billing 
Appendix B:  Completing the CMS-1500 Form for Physician Outpatient Billing Plus Determining the Correct Diagnostic and Procedure Codes 
Appendix C: Completing the UB-04 Form for Hospital Billing 
Appendix D: Medical Forms 
Appendix E: Acronyms and Abbreviations 
Appendix F: Medical Terminology Word Parts 
Appendix G: Helpful Websites 
Glossary 
Index 
