Understanding Health Insurance
Author | : Michelle A. Green |
Publisher | : |
Total Pages | : 0 |
Release | : 2010 |
Genre | : |
ISBN | : 9781111120702 |
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Author | : Michelle A. Green |
Publisher | : |
Total Pages | : 0 |
Release | : 2010 |
Genre | : |
ISBN | : 9781111120702 |
Author | : Thomas Bodenheimer |
Publisher | : McGraw-Hill/Appleton & Lange |
Total Pages | : 340 |
Release | : 1998 |
Genre | : Law |
ISBN | : |
Numerous case examples illustrate fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment. In addition, this book does a superior job linking policy issues to the practice of medicine. The second edition features a brand new chapter on payment in managed care.
Author | : Jo Ann C. Rowell |
Publisher | : Cengage Learning |
Total Pages | : 724 |
Release | : 2004 |
Genre | : Business & Economics |
ISBN | : 9781401837914 |
Understanding Health Insurance: A Guide to Professional Billing, 7th edition,utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. the objectives of this edition are to 1) introduce information about major third party payer programs and federal health care regulations, 2) clarify coding guidelines and provide application exercises for each national diagnosis and procedure coding system, and 3) simplify the process of completing claims. Case studies and review exercises provide users with numerous opportunities to apply knowledge and to build s
Author | : Jill L. Brown |
Publisher | : Elsevier Health Sciences |
Total Pages | : 554 |
Release | : 2005-12-01 |
Genre | : Medical |
ISBN | : 0721605567 |
This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding.A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process.Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care.Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations.Sidebars and Examples highlight key concepts and information related to the core text lesson.A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry.Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities.Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Author | : Michelle Green |
Publisher | : Cengage Learning |
Total Pages | : 688 |
Release | : 2020-01-02 |
Genre | : Business & Economics |
ISBN | : 9780357378649 |
Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Author | : Michelle A. Green |
Publisher | : Delmar Thomson Learning |
Total Pages | : 244 |
Release | : 2003-07 |
Genre | : Business & Economics |
ISBN | : 9781401884352 |
Understanding Health Insurance: A Guide to Professional Billing, 7th edition, utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. The objectives of this edition are to 1) introduce information about major third party payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately.. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing the UB-92 (CMS-1450) and dental claims.
Author | : United States. Health Resources Administration |
Publisher | : |
Total Pages | : 16 |
Release | : 1978 |
Genre | : Health insurance |
ISBN | : |
Author | : Tamara Thompson |
Publisher | : Greenhaven Publishing LLC |
Total Pages | : 130 |
Release | : 2014-12-02 |
Genre | : Young Adult Nonfiction |
ISBN | : 0737776196 |
The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 204 |
Release | : 2001-10-27 |
Genre | : Medical |
ISBN | : 0309076099 |
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Author | : Michelle Green |
Publisher | : |
Total Pages | : 704 |
Release | : 2022-01-03 |
Genre | : |
ISBN | : 9780357621356 |
Strengthen your skills and develop a solid foundation in medical insurance processing and revenue management with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2022 Edition. This reader-friendly, comprehensive resource explains the latest developments and medical code sets and coding guidelines as you learn how to assign ICD-10-CM, CPT 2022 codes and HCPCS level II codes, complete health care claims and master revenue management concepts. You focus on important topics such as the latest managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity and common health insurance plans. New material introduces electronic claims, performance measurement and processing clinical quality language. A helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer practice in CMS-1500 claims completion and assigning codes.