Understanding Health Insurance

ISBN-10: 1401884350
ISBN-13: 9781401884352
Edition: 7th 2004 (Workbook)
List price: $72.95
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Description: Understanding Health Insurance: A Guide to Professional Billing, 7th edition, utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. The objectives of this edition are to 1) introduce information  More...

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Book details

List price: $72.95
Edition: 7th
Copyright year: 2004
Publisher: Delmar Cengage Learning
Publication date: 7/23/2003
Binding: Paperback
Pages: 240
Size: 8.50" wide x 10.75" long x 0.50" tall
Weight: 1.144
Language: English

Understanding Health Insurance: A Guide to Professional Billing, 7th edition, utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. The objectives of this edition are to 1) introduce information about major third party payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately.. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing the UB-92 (CMS-1450) and dental claims.

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.

Founder and Former Chairperson, Medical Assisting Department Anne Arundel Community College, Arnold, MD

Health Insurance Specialist-Roles and Responsibilities
Introduction to Health Insurance
Managed Health Care
Life Cycle of an Insurance Claim
Legal and Regulatory Considerations
ICD-9-CM Coding
CPT Coding
HCPCS Coding System
CMS Reimbursement Issues
Coding for Medical Necessity
Essential CMS-1500 Claim Instructions
Filing Commercial Claims
Blue Cross and Blue Shield Plans
Medicare
Medicaid
Tricare
Workers' Compensation

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