Understanding Health Insurance A Guide to Billing and Reimbursement

ISBN-10: 1418067067
ISBN-13: 9781418067069
Edition: 9th 2008 (Revised)
List price: $201.95
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Description: Understanding Health Insurance: A Guide to Billing and Reimbursement contains comprehensive information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, and common health  More...

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Book details

List price: $201.95
Edition: 9th
Copyright year: 2008
Publisher: Delmar Cengage Learning
Publication date: 12/10/2007
Binding: Mixed Media
Pages: 720
Size: 8.75" wide x 11.00" long x 1.00" tall
Weight: 3.190
Language: English

Understanding Health Insurance: A Guide to Billing and Reimbursement contains comprehensive information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided in the book for manual completion of CMS-1500 claims. A CD-ROM in the back allows for electronic data entry of CMS-1500 claim form information. The CD cases also appear in Appendix I and II of the text. The accompanying workbook provides application-based assignments for each chapter, additional content review, and additional case studies for practice with completing CMS-1500 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 Career
Introduction to Health Insurance
Managed Health Care
Development of an Insurance Claim
Legal and Regulatory Issues
ICD-9-CM Coding
CPT Coding
HCPCS Coding
CMS Reimbursement Methodologies
Coding for Medical Necessity
Essential CMS-1500 Claim Instructions
Commercial Insurance
Blue Cross and Blue Shield Plans
Medicare
Medicaid
Tricare
Workers' Compensation

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