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| HEALTH INSURANCE TODAY
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A Practical Approach
To order this title, and for more information, click here
Second Edition
By
Janet Beik, AA, BA, MEd, Southeastern Community College (retired), Administrative Instructor, Medical Assistant Program, West Burlington, IA, USA
Description
Learn to confidently complete and submit health insurance claims with this proven, practice-based approach! Realistic examples, case studies,
and application exercises simplify the health insurance billing process and help you learn interactively. Instructional content is broken
down into segments for easier learning, with a straightforward, conversational writing style that makes the material accessible and understandable.
Accompanied by a companion CD with step-by-step claim form guidance, this easy-to-read resource is your key to mastering health insurance
concepts and obtaining maximum reimbursement for your health care facility.
Contents
UNIT 1 – BUILDING A FOUNDATION
1. Medical Insurance: Where Did it Come From?
2. Tools of the Trade: A
Career as a Health (Medical) Insurance Professional
3. The Legal & Ethical Side of Medical Insurance
4. Types and Sources
of Health Insurance
UNIT 2 – HEALTH INSURANCE BASICS
5. The ?Universal? Claim Form: CMS-1500
6.
Traditional Fee-For-Service/Private Plans
7. Unraveling the Mysteries of Managed Care
8. Understanding Medicaid
9.
Conquering Medicare's Challenges
10. Military Carriers - TRICARE/CHAMPVA
11. Miscellaneous Carriers: Worker's Compensation
and Disability Insurance
UNIT 3 – CRACKING THE CODES
12. Diagnostic Coding
13. Procedural,
Evaluation & Management and HCPCS Coding
UNIT 4 – THE CLAIMS PROCESS
14. The Patient
15. The
Claim
UNIT 5 – ADVANCED APPLICATION
16. The Role of Computers in Health Insurance
17. Reimbursement
Procedures: Getting Paid
18. Hospital Claim Form: The UB-04
| Bibliographic details |
Paperback, 528 pages, publication date: OCT-2008
ISBN-13: 978-1-4160-5320-0
ISBN-10: 1-4160-5320-4
Imprint: SAUNDERS
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026/218
Last update: 25 Nov 2009
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