Workbook for Health Insurance Today - 4th Edition - ISBN: 9781455708215, 9780323293334

Workbook for Health Insurance Today

4th Edition

A Practical Approach

Authors: Janet Beik
eBook ISBN: 9780323293334
Imprint: Saunders
Published Date: 4th October 2012
Page Count: 440

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Corresponding to the chapters in Health Insurance Today, 4th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and learning activities and exercises challenge you to apply your knowledge to real-world situations.

Key Features

  • 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.
  • Critical Thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations.
  • Performance objectives include hands-on, application-based learning activities 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.
  • Chapter assessments test your knowledge of text content with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions.
  • Application exercises ask you to apply your knowledge and skills to real-world situations.
  • Defining Chapter Terms help you review and understand key terms in each chapter.
  • Problem solving/collaborative (group) activities emphasize the importance of teamwork in the health care field.
  • 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: 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


No. of pages:
© Saunders 2013
eBook ISBN:

About the Author

Janet Beik

Affiliations and Expertise

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