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Medical Billing Competencies eResources

The below resources were compiled for the Information Literacy Workshop on Medical Billing Competencies conducted during Summer 2014.  We added them to the library webpages so all students would have access.

RECOMMENDED WEBSITES and DATABASE ARTICLES

COMPILED BY THE DIVISION OF HEALTH DISCIPLINES AND THE ASA LIBRARY

Opening a home-based billing business

How to Start a Medical Claims Processing Business

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Robinson, T. M. (2008). PAYING THE BILLS. Black Enterprise, 38(11), 60.

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At-Home Medical Billing Businesses

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Benavidez, T., & Friedman, B. (2003). no place like home. Hfm (Healthcare Financial Management), 57(7), 76-80.

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Telemedicine and its effects on Billing

Telehealth Services - Centers for Medicare & Medicaid Services

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What are the reimbursement issues for telehealth? - HRSA

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ValueOptions Inc. (July 2014), Telemedicine Reference Guide.

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Revolutionizing coding and billing with mobile technology

Adkison, P. (2011). Revolutionizing the coding and billing cycle with intelligent mobile technology. Health Management Technology, 32(5), 1-9.

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Wu, R., Orr, M., Chignell, M., & Straus, S. (2008). Usability of a mobile electronic medical record prototype: a verbal protocol analysis. Informatics For Health & Social Care, 33(2), 139-149.

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3 Cases of Billing Fraud

Medicare Fraud Strike Force charges 90 individuals for approximately $260 million in false billing

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Examples of Medicare Fraud

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Medicare Fraud & Abuse: Prevention, Detection, and Reporting

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Electronic Billing and Medical Claims Management

Hmt. (2011). On a mission to eradicate paper... ...Implementing a document management system paves the way for electronic medical records. Health Management Technology, 32(3), 1.

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Electronic Billing & EDI Transactions

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Transitioning from ICD-9 to ICD-10

The ICD-10 Transition - Centers for Medicare & Medicaid Services

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ICD-10 Code Set to Replace ICD-9

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FAQs: ICD-10 Transition Basics - Centers for Medicare & Medicaid ...

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Obamacare and the Affordable Care Act

Glenn, B. (2013). 4 ways Obamacare insurance exchanges could change healthcare. Dermatology Times, 34(10), 62.

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Pollack, R. (2013). Obamacare Q&A. Pn, 67(12), 18-19.

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Making sense of Obamacare. (2013). Urology Times, 41(9), 38-39.

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Metro (Metropolitan New York Library Council) Affordable Care Act Libguide/Pathfinder

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Understanding ObamaCare: Politico�s Guide to the Affordable Care Act

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Obamacare: Understanding the Affordable Care Act

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Medicare and Medicaid Incentive Programs

Medicare & Medicaid EHR Incentive Program

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Medicare and Medicaid EHR Incentive Program Basics

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Medicare and Medicaid EMR Incentive Comparison

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Access to Health Insurance and the Uninsured

The Uninsured And The Difference Health Insurance Makes

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The Uninsured: Access To Medical Care

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Health Insurance and Access to Care

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Health Information Exchanges (HIEs)

Adler-Milstein, J., DesRoches, C. M., & Jha, A. K. (2011). Health Information Exchange Among US Hospitals. American Journal Of Managed Care, 17(11), 761-768.

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Buell, J. (2013). Health information exchange achieving coordinated care. Healthcare Executive, 28(5), 8.

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Goldstein, M. M. (2014). Health Information Privacy and Health Information Technology in the US Correctional Setting. American Journal Of Public Health,
104(5), 803-809. doi:10.2105/AJPH.2013.301845

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Shapiro, J. S., Mostashari, F., Hripcsak, G., Soulakis, N., & Kuperman, G. (2011). Using health information exchange to improve public health. American Journal Of Public Health,
  101(4), 616-623. doi:10.2105/AJPH.2008.158980

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Tzeel, A., Lawnicki, V., & Pemble, K. R. (2012). "Hidden" Value: How Indirect Benefits of Health Information Exchange Further Promote Sustainability. American Health & Drug Benefits, 5(6), 333-340.

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ICD-10

Resources from Centers for Medicare & Medicaid Services

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Resources from AHIMA

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Resources from Noblis

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International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

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The Web's Free 2014 ICD-10-CM and ICD-10-PCS Medical Coding Reference

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ICD-10-CM Diagnosis Codes

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Free webinars (needs to register first/open to all)

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WHO�s ICD-10 Training Tool

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ICD-10 Training Course(needs to register first/open to all)

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Resources from the American Academy of Professional Coders

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Electronic Health Records (EHRs)

Resources from HealthIT

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Resources from Healthcare Information and Management Systems Society

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Resources US Health Information Knowledgebase

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Regulations & Guidance

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Free Online EHR (needs to register first/open to all)

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Resources from NY eHealth Collaborative

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Resources from NYC Reach

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Free Webinar on Meaningful Use 2014 Basics

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Meaningful Use  - "The Basics"

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Video on Electronic Health Record System Demo

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HIPAA

Gonzalez, E. (2014). Complying with HIPAA. Long-Term Living: For The Continuing Care Professional, 63(1), 16-19.

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Lenhardt, J. (2013). HIPAA GETS AN UPDATE: What You Need to Know Now. ACA News (American Chiropractic Association), 9(9), 22-23.

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McKinney, M. (2009). HIPAA and HITECH: tighter control of patient data: stimulus payments for electronic health records add another task to providers' plates: beefing up privacy practices. H&HN: Hospitals & Health Networks, 83(6), 50.

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Reber, E. (2011). Five steps to achieving HIPAA compliance. Biomedical Instrumentation & Technology, 45(5), 360-363. doi:10.2345/0899-8205-45.5.360

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Sarrico, C., & Hauenstein, J. (2011). can EHRs and HIEs get along with HIPAA security requirements?. Hfm (Healthcare Financial Management), 65(2), 86-90.

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McMillan, M., Temple, R., Matheson, S., & Curry, S. (2014). Are your IT systems really as HIPAA compliant as you think?. Health Management Technology, 35(2), 13.

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General Information

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Understanding Health Information Privacy

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Full text of Health Insurance Portability and Accountability Act of 1996

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Training Materials

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Security Risk Assessment Tool (Can be downloaded; open to everyone; Must log in first with First Name, Last Name and Initials)

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Resources from the NYS Department of Health

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HIPAA Survival Guide Resources

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HIPAA Resources (National Institutes of Health)

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Protecting Patients� Rights (from Medscape; needs to register first/open to all)

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HIPAA , Privacy & Security Training Module (University of North Carolina)

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Free Training Video

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