Understanding Health Insurance, Eleventh Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The eleventh edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the accompanying workbook—sold separately—provides even more application-based assignments and additional case studies for reinforcement. Includes free online StudyWARETM software that allows you to test your knowledge, free online SimClaimTM CMS-1500 claims completion software, and free-trial access to Ingenix's EncoderPro.com—Expert encoder software. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
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 ...
Major Topic Headings ICD - 9 - CM chapters are subdivided into major topic headings printed in bold uppercase letters and followed by a range of codes enclosed in parentheses . Any note or EXCLUDES statement printed below a major topic ...
Gain confidence. Meet new challenges. Fast. That's the reason for CliffsNotes. And that's just what you'll get from this simple guide to cutting through health care red tape.
Write a research paper that explains major developments in health insurance for a specific period of time . 6. Demonstrate relationships between major developments in health insurance and their impact on health care access , delivery ...
Now fully updated, this edition contains the latest code sets, guidelines, and claim forms to provide readers with the most essential and up-to-date knowledge on billing and reimbursement. The text includes free software.
Enhance your skills and establish a strong foundation for success with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2024 Edition.
However, we understand that this is easier said than done and that there are a lot of confusing factors to keep in mind.
THE 1980s: THE REVOLT OF THE PURCHASERS In 1989, Ryan Neighbor, Jerry Neighbor's brother, became concerned when he noticed blood in his stools; he decided to see a physician. Six months earlier, his company had increased the annual ...
The eleventh edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more.
A comprehensive guide to health insurance claim processing that contains pertinent information on common health insurance plans, and coding systems, reimbursement issues, and step-by-step instructions for HCFA-1500 claim completion.