Download Medical Insurance for Pharmacy Technicians PDF

Rating: (1 reviews) Author: ISBN : 9780073374161 New from $69.88 Format: PDF

Download medical books file now PRETITLE Medical Insurance for Pharmacy Technicians POSTTITLE from mediafire, rapishare, and mirror link

Medical Insurance for Pharmacy Technicians provides a practical, focused overview of medical insurance and billing of prescriptions in the community pharmacy setting. Each chapter is structured to give students a hands-on, practical approach to understanding and working with prescription charges and the billing process. This text is precisely tailored for a brief introduction to the fundamental understanding of claim processing principles for pharmacy technicians.

Direct download links available for PRETITLE Medical Insurance for Pharmacy Technicians POSTTITLE

• Product Details
• Table of Contents
• Reviews

• Paperback: 192 pages
• Publisher: McGraw-Hill Science/Engineering/Math; 1 edition (February 19, 2009)
• Language: English
• ISBN-10: 0073374164
• ISBN-13: 978-0073374161
• Product Dimensions: 0.1 x 8.5 x 10.8 inches
• Shipping Weight: 14.4 ounces (View shipping rates and policies)

Download Medical Insurance for Pharmacy Technicians PDF

Medical Insurance for Pharmacy Technicians

Overview

Main description

Medical Insurance for Pharmacy Technicians provides a practical, focused overview of medical insurance and billing of prescriptions in the community pharmacy setting. Each chapter is structured to give students a hands-on, practical approach to understanding and working with prescription charges and the billing process. This text is precisely tailored for a brief introduction to the fundamental understanding of claim processing principles for pharmacy technicians.

Table of contents

Chapter 1: From Prescription to Payment: Becoming a Pharmacy Technician Insurance SpecialistThe Importance of Pharmacy BenefitsMedical Insurance BasicsThe Pharmacy Practice Billing CycleProcedures, Communication, and Information Technology in the Pharmacy Billing CycleEffects of Pharmacy Claim ErrorsChapter 2: Medicolegal Issues and the PharmacyHealth Care Regulation Pharmacy RecordsHIPAA Privacy RuleHIPAA Security Rule HIPAA Electronic Health Care Transactions and Code SetsOther Legislation Affecting PharmacyFraud and Abuse RegulationsPharmacy Question and AnswersChapter 3: Private Insurance Payers and PlansPrivate InsuranceTypes of Health PlansPharmacy Plan Benefits Pharmacy Benefit Management TechniquesCalculating ChargesChapter 4: MedicareMedicare OverviewMedicare Part B PlansWho Pays First?Medicare Part DChapter 5: Medicaid, TRICARE, CHAMPVA, Workers’ Compensation, and Discount Card ProgramsMedicaidTRICARE and CHAMPVAWorkers’ CompensationDiscount Card ProgramsChapter 6: Claim Preparation and TransmissionPricing PrescriptionsCreating ClaimsTransmitting ClaimsCoordination of BenefitsChapter 7: Processing Claims and Appealing DecisionsPayer Adjudication of ClaimsCollecting Patient Point-Of-Sale PaymentPharmacy Processing of Payer Claim PaymentBalancing Transactions Appealing and Resubmitting Claims Insurer/PBM audits

First off, Medical Insurance is a very dry topic and it's hard to listen to a professor lecture about it for hours. But if you're in the market to learn about Medical Insurance and you want to take some beginner steps, this book is very helpful.

There are only 7 chapters in this book and they go over the following topics:
1) From Prescription to Payment: Becoming a Pharmacy Technician Insurance Specialist
2) Medicolegal Issues and the Pharmacy
3) Private Insurance and the Pharmacy
4) Medicare
5) Medcaid, TRICARE, CHAMPVA, Worker's Compensation, and Discount Card Programs
6) Claim Preparation and Transmission
and
7) Processing Claims and Reconciling Accounts.

Landing at 180 pages including the appendix, the chapters are relatively short and easy to read through in a couple of sittings. Each chapter has a Chapter Summary with Chapter Review Questions which are comprise of Multiple Choice, Matching, True/False, and Short Answer. However, there are no answers provided anywhere in the book so, aside from truly knowing the information, it's hard to check to make sure you have the correct answers. The glossary in the book is fairly short but it does contain all the important words in there to help you out.

Because this book was published in 2009, there are some bits of information that are out of date, so keep that in mind when you're reading through the material. Also on page 113, there is an instance where the book refers to the NPI number formally known as the NABP number which is incorrect.

Overall, this book will help you gain an understanding of how Medical Insurance works and how it relates to a pharmacy. Keep in mind though, you may run into situations in the pharmacy that are not covered in this book, but some of the same concepts you learn in this book can be applied.

By Idip31