Medical Insurance: An Integrated Claims Process Approach

The sixth edition of Medical Insurance: An Integrated Claims Process Approach emphasizes the medical billing cycle—ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process. The cycle shows how administrative medical professionals “follow the money.” Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation, which then ensures that offices receive maximum, appropriate reimbursement for services provided. Each part of the book is dedicated to a section of the cycle followed by case studies to apply the skills discussed in each section. These case studies can be completed with the electronic CMS-1500 at www.mhhe.com/valerius6e or using simulated Medisoft exercises in Connect Plus, McGraw-Hill's homework and assessment platform.

Nenna L. Bayes, AAS, BBA, M.Ed., CPC, has coauthored
and reviewed various titles within the medical administrative fields. She earned an
associate of applied business degree, a bachelor of business administration degree,
and a masters of arts in education from Morehead State University. During her tenure,
she has taught numerous courses within the administrative and medical administrative
curriculum. She is a professor in and the program coordinator for the Office
Systems Technology and Medical Information Technology programs at Ashland
Community and Technology College in Ashland, Kentucky, and has received many
teaching excellence awards. She is also a certified professional coder (CPC). Prior to
teaching, she worked in various medical office environments. Additionally, she is a
member of the American Academy of Professional Coders (AAPC) and the American
Health Information Management Association (AHIMA).
She lives in Flatwoods, Kentucky, with her husband and is blessed to have two
children and two granddaughters . She is actively involved in music and enjoys
camping in her leisure time.
Cynthia Newby, CPC, CPC-P, is a long-serving author who works closely with McGraw-Hill Education instructional development staff to develop excellent MIBC programs. Cynthia is a graduate of Hood College and a trustee of that institution as well as her local animal shelter and library.

Amy L. Blochowiak, MBA, ACS, AIAA, AIRC, ARA, FLHC, FLMI, HCSA, HIA, HIPAA, MHP, PCS, SILA-F, has over 16 years of insurance industry experience serving in various roles. Amy is currently the HCBS Program Director at Northeast Wisconsin Technical College where sits on many committees and she shares her passion for student success.