Understanding Health Insurance: A Guide to Billing and Reimbursement / Edition 9

Understanding Health Insurance: A Guide to Billing and Reimbursement / Edition 9

by Michelle A. Green, Joann C. Rowell
     
 


Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide you with the most essential and up-to-date knowledge on billing and reimbursement. With Understanding Health Insurance, Tenth Edition, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement… See more details below

Overview


Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide you with the most essential and up-to-date knowledge on billing and reimbursement. With Understanding Health Insurance, Tenth Edition, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. Exercises in each chapter provide plenty of practice for learning how to bill and reimburse, and the accompanying workbook provides more application-based assignments for each chapter as well as additional case studies to reinforce your knowledge. The text includes free software that allows you to test your knowledge.

Product Details

ISBN-13:
9781428301139
Publisher:
Cengage Learning
Publication date:
01/01/2008
Product dimensions:
8.60(w) x 10.90(h) x 1.50(d)

Related Subjects

Meet the Author


Michelle A. Green is a SUNY Distinguished Teaching Professor in the Physical and Life Sciences Department of the College of Technology at Alfred State College. An active member of the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA), Ms. Green has been recognized for both teaching and for her significant contributions to the Health Information Management profession. She has earned numerous awards, including the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers, and the FORE Triumph Educator Award from the AHIMA. Ms. Green is a Registered Health Information Administrator (RHIA), a Fellow of the American Health Information Management Association (FAHIMA), and a Certified Procedural Coder (CPC). She earned a BS from Daemen College and an MPS degree from Alfred University. Ms. Green has authored ESSENTIALS OF HEALTH INFORMATION MANAGEMENT in addition to this book.

Founder and Former Chairperson, Medical Assisting Department Anne Arundel Community College, Arnold, MD

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Table of Contents


1. Health Insurance Specialist Career. 2. Introduction to Health Insurance. 3. Managed Health Care. 4. Processing of an Insurance Claim. 5. Legal and Regulatory Issues. 6. ICD-9-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9. CMS Reimbursement Methodologies. 10. Coding for Medical Necessity. 11. Essential CMS-1500 Claim Instructions. 12. Commercial Insurance. 13. Blue Cross Blue. 14. Medicare. 15. Medicaid. 16. TRICARE. 17. Workers' Compensation. APPENDICES. Bibliography. Glossary. Index.

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