Health Insurance Today: A Practical Approach / Edition 1

Health Insurance Today: A Practical Approach / Edition 1

by Janet I. Beik
     
 

ISBN-10: 1416000542

ISBN-13: 9781416000549

Pub. Date: 09/26/2006

Publisher: Elsevier Health Sciences

Health Insurance Today: A Practical Approach simplifies health insurance concepts through abundant real-world examples, case studies and application exercises. Practice-based instruction, supported by the direct, conversational writing style, makes the often-complicated insurance billing and coding process understandable and accessible.

• Each chapter

Overview

Health Insurance Today: A Practical Approach simplifies health insurance concepts through abundant real-world examples, case studies and application exercises. Practice-based instruction, supported by the direct, conversational writing style, makes the often-complicated insurance billing and coding process understandable and accessible.

• Each chapter develops the learning objective in a manageable, direct narrative, followed by a short application exercise to ensure student comprehension.
• Key terms are highlighted and defined in the margins to facilitate immediate understanding and build familiarity with industry terms.
• Compliance tips located throughout teach correct billing and coding practices to comply with federal and state mandates.
• Case studies, critical thinking exercises and collaborative learning activities provide ample opportunities for practice, self-assessment and confidence building.
• Features the new CMS-1500 (8-05 version) throughout, to prepare students for real-world practice.
• Each chapter has been carefully developed to stand on its own, making the text ideal for open entry programs.

Product Details

ISBN-13:
9781416000549
Publisher:
Elsevier Health Sciences
Publication date:
09/26/2006
Edition description:
Older Edition
Pages:
504
Product dimensions:
8.66(w) x 10.90(h) x 0.69(d)

Table of Contents

UNIT 1 - THE FIRST STEP: 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 - THE SECOND STEP: 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 - THE THIRD STEP: CRACKING THE CODES

12. Diagnostic Coding

13. Procedural, Evaluation & Management and HCPCS Coding

UNIT 4 - THE FOURTH STEP: THE CLAIMS PROCESS

14. The Patient

15. The Claim

UNIT 5 - AN EXTRA STEP

16. The Role of Computers in Health Insurance

17. Reimbursement Procedures: Getting Paid

18. Hospital Claim Form: The UB-92

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