Understanding Health Insurance A Guide to Billing and Reimbursement

ISBN-10: 113328373X
ISBN-13: 9781133283737
Edition: 11th 2013
List price: $184.95
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Description: Understanding Health Insurance, Eleventh Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and  More...

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Book details

List price: $184.95
Edition: 11th
Copyright year: 2013
Publisher: Delmar Cengage Learning
Publication date: 2/3/2012
Binding: Paperback
Pages: 832
Size: 8.25" wide x 10.50" long x 1.25" tall
Weight: 3.894
Language: English

Understanding Health Insurance, Eleventh Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The eleventh edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the accompanying workbook provides even more application-based assignments and additional case studies for reinforcement. Includes free online StudyWARE™ software that allows you to test your knowledge, free online SimClaim™ CMS-1500 claims completion software, and free-trial access to Ingenix's EncoderPro.com—Expert encoder software.

Michelle A. Green, MPS, RHIA, FAHIMA, CPC, is a SUNY Distinguished Teaching Professor at Alfred State College in Alfred, New York. Her teaching responsibilities include health information management, insurance and reimbursement, and ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS level II coding courses. She is an active member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA). Her numerous teaching honors include the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers, and AHIMA's Educator Award. In addition to this title, she also authored 3-2-1 CODE IT! and UNDERSTANDING HEALTH INSURANCE.

Health Insurance Specialist Career
Introduction to Health Insurance
Managed Health Care
Processing an Insurance Claim
Legal and Regulatory Issues
ICD-9-CM Coding
ICD-10-CM Coding
CPT Coding
HCPCS Level II Coding
CMS Reimbursement Methodologies
Coding for Medical Necessity
Essential CMS-1500 Claim Instructions
Commercial Insurance
Blue Cross Blue Shield
Medicare
Medicaid
Tricare
Workers' Compensation
Appendices
Bibliography
Glossary
Index

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