Workbook for Health Insurance Today - 5th Edition - ISBN: 9780323221160, 9780323509640

Workbook for Health Insurance Today

5th Edition

A Practical Approach

Authors: Janet Beik
eBook ISBN: 9780323509640
eBook ISBN: 9780323291781
Imprint: Saunders
Published Date: 18th September 2014
Page Count: 432
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Description

Corresponding to the chapters in Health Insurance Today, 5th Edition, this workbook gives you practice with the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and exercises challenge you to apply your knowledge to real-world situations.

Key Features

  • Performance objectives include hands-on, application-based learning activities with practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out "Release to Return to Work" forms, and filling out Medicare appeals.
  • Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations.
  • Defining Chapter Terms activities help you review and understand key terms in each chapter.
  • Chapter assessments test your knowledge of text content with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions.
  • Problem solving/collaborative (group) activities emphasize the importance of teamwork in the health care field.
  • Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work.
  • Application exercises ask you to apply your knowledge and skills to real-world situations.
  • In-class projects and discussion topics enhance your understanding of specific content from the text.
  • Internet Exploration exercises in each chapter help you learn how to perform research online.

Table of 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 Medical Insurance
4. Types and Sources of Health Insurance

Unit 2: Health Insurance Basics
5. Claim Submission Methods
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
11. Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Unit 3: Cracking the Codes
12. Diagnostic Coding
13. Procedural, Evaluation and Management, and HCPCS Coding
 
Unit 4: The Claims Process
14. The Patient
15. Keys to Successful Claims Management

Unit 5: Advanced Application
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures: Getting Paid
18. Hospital Billing and the UB-04
Appendix A: Sample Blank Forms to be Reproduced

Details

No. of pages:
432
Language:
English
Copyright:
© Saunders 2015
Published:
Imprint:
Saunders
eBook ISBN:
9780323509640
eBook ISBN:
9780323291781

About the Author

Janet Beik

Affiliations and Expertise

Southeastern Community College (retired), Administrative Instructor, Medical Assistant Program, West Burlington, IA, USA