Health Insurance Today book cover

Health Insurance Today

A Practical Approach

With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4th 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.

Paperback, 512 Pages

Published: September 2012

Imprint: Saunders

ISBN: 978-1-4557-0819-2

Contents

  • 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. Unit 2: Health Insurance Basics

    6. Claim Submission Methods
    7. Traditional Fee-for-Service/Private Plans
    8. Unraveling the Mysteries of Managed Care
    9. Understanding Medicaid
    10. Conquering Medicare’s Challenges
    11. Military Carriers
    12. Miscellaneous Carriers: Workers’ Compensation and Disability Insurance
    13. Unit 3: Cracking the Codes

    14. Diagnostic Coding
    15. Procedural, E&M, and HCPCS Coding
    16. Unit 4: The Claims Process

    17. The Patient
    18. The Claim
    19. Unit 5: Advanced Application

    20. The Role of Computers in Health Insurance
    21. Reimbursement Procedures: Getting Paid
    22. 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

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