Health Insurance Today

A Practical Approach

Janet Beik, AA, BA, MEd, Southeastern Community College (retired), Administrative Instructor, Medical Assistant Program, West Burlington, IA, USA

With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4^th Edition features completely updated content on ICD-10 coding, ARRA, HI-TECH, Version 5010, electronic health records, the Health Insurance Reform Act, and more. The friendly writing style and clear learning objectives help you understand and retain important information, with review questions and activities that encourage critical thinking and practical application of key concepts.

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Paperback, 512 Pages

Published: September 2012

Imprint: Saunders

ISBN: 978-1-4557-0819-2

Unit 1: Building a Foundation
1. The Origins of Health Insurance
2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional
3. The Legal and Ethical Side of Health Insurance
4. Types and Sources of Health Insurance
5. Claim Submission Methods
6. Traditional Fee-for-Service/Private Plans
7. Unraveling the Mysteries of Managed Care
8. Understanding Medicaid
9. Conquering Medicares Challenges
10. Military Carriers
11. Miscellaneous Carriers: Workers Compensation and Disability Insurance
12. Diagnostic Coding
13. Procedural, E&M, and HCPCS Coding
14. The Patient
15. The Claim
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures: Getting Paid
18. Hospital Billing and the UB-04
Appendixes

Appendix A: Sample Blank CMS-1500 (08/05)
Appendix B: CMS-1500 Claim Form and Completion Instructions
Appendix C: UB-40 Claim Form and Completion Instructions
Glossary

Health Insurance Today

A Practical Approach

Contents