Get the Money in the Door - Physician Billing Basics (Paperback)

Medical office insurance staff members play a critical role in any practice. They understand perhaps more than anyone that their role is to "get the money in the door." This book provides billing basics to help build and maintain a solid financial foundation for the medical practice. Readers will learn critical basics regarding:

Fundamentals of health care insurance in the United States

Billing and payment process overview

Revenue cycle elements

Medical practice staff member duties how they fit into the revenue cycle

Medical office insurance staff member tasks

Fundamentals of health care insurance in the United States

Billing and payment process overview

Revenue cycle elements

Medical practice staff member duties how they fit into the revenue cycle

Medical office insurance staff member tasks

Useful for staff, practice managers, and executives, Get the Money in the Door serves as: an insurance primer and personal handbook for insurance staff members; a teaching and hiring tool for practice managers with direct responsibility for insurance departments; an insurance primer and personal handbook; for insurance staff members; and a teaching and hiring tool for practice managers with direct responsibility for insurance departments.

The book includes 25 real-life scenarios, each describing actual situations that medical insurance staff members face every day, and options on how to handle each one; a glossary of terms useful for medical insurance staff members; and a discussion of modifiers and place-of-service codes.

2009, 136 pp., ISBN: 1-56829-340-0

Testimonials

Dr. Sarah Holt's new book Get the Money in the Door is a very important contribution. She offers a very systematic overview of the mechanics of the complex payment systems that are used by the myriad of payers that currently exist in the U.S. health care system and very valuable insights based on her research on the attitudes and behavior of medical office administrative staff. As a result, there is little question that this book will prove to be very useful to medical group managers who are trying to improve their financial management efficiency and effectiveness and health care management faculty who are addressing financial management issues in ambulatory care management.