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Health Insurance Today : A Practical Approach by Janet I. Beik (2010, Trade...

davikenn_ciowca
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Item specifics

Condition
Good: A book that has been read, but is in good condition. Minimal damage to the book cover eg. ...
ISBN
9781437717709

About this product

Product Identifiers

Publisher
Elsevier-Health Sciences Division
ISBN-10
1437717705
ISBN-13
9781437717709
eBay Product ID (ePID)
108481667

Product Key Features

Number of Pages
528 Pages
Publication Name
Health Insurance Today : a Practical Approach
Language
English
Publication Year
2010
Subject
Medical History & Records, Insurance / Health, Insurance / General
Type
Textbook
Author
Janet I. Beik
Subject Area
Business & Economics, Medical
Format
Trade Paperback

Dimensions

Item Length
10.9 in
Item Width
8.5 in

Additional Product Features

Edition Number
3
Intended Audience
Scholarly & Professional
LCCN
2010-013350
Dewey Edition
23
Dewey Decimal
368.38/200973
Table Of Content
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 & 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 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 Appendix A Appendix B Appendix C Glossary Index
Synopsis
Learn to complete and submit clean claim forms for major insurance carriers. Health Insurance Today, 3rd Edition, provides case studies for each of the chapters covering these major payers so you can learn how to abstract the information from the patient's chart to complete the CMS-1500. You will learn to complete and submit paper claims, but the emphasis is on electronic claims filing, keeping you up-to-date on HIPAA, electronic health records, and the latest industry standards. Select exercises on the companion Evolve Resource site let you gain experience entering information into a practice management program; producing an electronic CMS-1500; and submitting a claim electronically., Learn to complete and submit clean claim forms for major insurance carriers. Health Insurance Today, 3rd Edition, provides case studies for each of the chapters covering these major payers so you can learn how to abstract the information from the patient's chart to complete the CMS-1500. You will learn to complete and submit paper claims, but the emphasis is on electronic claims filing, keeping you up-to-date on HIPAA, electronic health records, and the latest industry standards. Select exercises on the companion Evolve Resource site let you gain experience entering information into a practice management program; producing an electronic CMS-1500; and submitting a claim electronically. Learning objectives makes learning easier and more meaningful Direct, conversational writing style makes reading and absorbing the material more enjoyable "What Did You Learn?" review questions ensure that you understand the material already covered, before progressing to the next section. "Imagine This!" scenarios help you apply information from the book to real-life situations "Stop and Think" exercises let you apply critical thinking skills to solve a problem or answer a question. HIPAA Tips help you understand this very important piece of legislation. Activities on the Evolve site give you hands-on practice electronically completing a claim form as efficiently as possible. More content on electronic medical records to reflect the future of record-keeping Thoroughly updated chapters include more in-depth information and guidelines on achieving and succeeding in a health insurance career Revised information covering the latest Medicare updates keeps you in-step with the latest Medicare practices Chapters include more content on ICD-10-CM, ICD-10-PCS, and updates to the CPT and HCPCS so you know all the latest information in the field Medisoft Activities on the Evolve Learning Resource site help to reinforce information and provide additional opportunities for practice
LC Classification Number
HG9386.5.B45 2011

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davikenn_ciowca

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