Beik's Health Insurance Today

Julie Pepper has spent her entire career in health care as a medical assistant in a variety of offices and clinics, developing expertise in the electronic health record and as an instructor in a medical assistant program. She combines her education in dietetics with her clinical and administrative experience as an instructor in the Medical Assisting program at Chippewa Valley Technical College in Wisconsin, where she taught for 21 years and from where she retired from teaching. Julie was also the program director for the college's Health Navigator program. She has served as a reviewer and contributor to numerous Medical Assisting educational products over the last decade, including Sim Chart for the Medical Office. She currently serves as the sole author of The Electronic Health Record for the Physician's Office and The Simulated Administrative Medical Office. She has been leading author of Beik's Health Insurance Today text and workbook since the 8th edition. She also has been a coauthor for Kinn's Medical Assisting Fundamentals, Kinn's The Medical Assistant, and Today's Medical Assistant. Julie strives to bring the needed information to students in a way to keep them interested in learning all that they need to be wonderful employees working in healthcare.

• UNIT I BUILDING A FOUNDATION1. The Origins of Health Insurance2. Tools of the Trade: A Career as a Health Insurance Professional3. The Legal and Ethical Side of Health Insurance4. Healthcare Reform: Coverage Types and Sources5. The Patient and the Billing ProcessUNIT II HEALTH INSURANCE BASICS6. Reimbursement Models7. Understanding Managed Care8. Understanding Medicare9. Understanding Medicaid10. Understanding Military Carriers11. Understanding Miscellaneous Carriers: Workers’ Compensation and Disability InsuranceUNIT III CLAIMS SUBMISSION12. Claim Submission Methods13. Diagnostic Coding14. Procedural, Evaluation and Management, and HCPCS Coding15. Claims ManagementUNIT IV ADVANCED APPLICATION16. The Role of Computers in Health Insurance17. Reimbursement Procedures: Getting Paid18. Hospital Billing and the UB-04