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CH1

Insurance Handbook Fordney
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professional billing
physicians or non-physician practitioners (NPPs) or (physician extenders)
common titles
insurance billing specialist
reimbursement specialist
medical billing representative
senior medical billing representative
MSOs
management services organizations
CECP
Certified Electronic Claims Processor
malpractice insurance
must be included in malpractice insurance; otherwise can be sued individually
It is illegal to provide incorrect information to
It is illegal to provide incorrect information to Federal payers; Tricare, Medicare, Champus, etc.
Errors and Omissions insurance
Should personally carry Errors and Omissions insurance
ACAP
Alliance of Claims Assistance Professionals
continuing education
must stay up to date on laws, changes, information
American Health Information Management Association Code of Ethics-2004
Ethical Principles: The following ethical principles are based on the core values of the American Health Information Management Association and apply to all health information management professionals.

Health information management professionals:
Advocate, uphold and defend the individual's right to privacy and the doctrine of confidentiality in the use and disclosure of information.
Put service and the health and welfare of persons before self-interest and conduct themselves in the practice of the profession so as to bring honor to themselves, their peers, and to the health information management profession.
Preserve, protect, and secure personal health information in any form or medium and hold in the highest regard the contents of the records and other information of a confidential nature, taking into account the applicable statutes and regulations.
Refuse to participate in or conceal unethical practices or procedures.
Advance health information management knowledge and practice through continuing education, research, publications, and presentations.
Recruit and mentor students, peers and colleagues to develop and strengthen professional workforce.
Represent the profession accurately to the public.
Perform honorably health information management association responsibilities, either appointed or elected, and preserve the confidentiality of any privileged information made known in any official capacity.
State truthfully and accurately their credentials, professional education, and experiences.
Facilitate interdisciplinary collaboration in situations supporting health information practice.
Respect the inherent dignity and worth of every person.
American Health Information Management Association Code of Ethics (book=1998)
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