Understanding Health Insurance
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Format
Mixed media product
Språk
Engelska
Antal sidor
832
Utgivningsdatum
2014-01-14
Upplaga
12
Förlag
CENGAGE Delmar Learning
Dimensioner
254 x 203 x 25 mm
Vikt
1542 g
Antal komponenter
2
Komponenter
Paperback (1), Online resource (1)
ISBN
9781285737522

Understanding Health Insurance

A Guide to Billing and Reimbursement (with Premium Website, 2 terms (12 months) Printed Access Card for Cengage EncoderPro.com Demo)

av Michelle Green
Mixed media product,  Engelska, 2014-01-14

Slutsåld

Understanding Health Insurance, 12th Edition, is the essential learning tool your students 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 twelfth 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 workbook (available separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online SimClaim CMS-1500 claims completion software, and free-trial access to Optum's EncoderPro.comExpert encoder software.
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"It is a great text that thoroughly covers all major topics but provides flexibility for adaptation in any course. Honestly, this is the most thorough textbook I have seen for this area of study, and it is a great resource for anyone entering or already working in this field."- Denise Kearney, CPC, Wayne Community College, Goldsboro, NC

Övrig information

Michelle Green has been a SUNY Distinguished Teaching Professor in the health information technology department at Mohawk Valley Community College in Utica, New York, since 2017. Ms. Green held the position of SUNY Distinguished Teaching Professor in the physical and life sciences department at the State University of New York, College of Technology for more than 30 years. An active member of the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA), Ms. Green has been recognized both for her excellence in teaching and for her significant contributions to the health information management profession. She has earned numerous awards, including the State University of New York Chancellors Award for Excellence in Teaching, Alfred State Colleges Alumni Association Teacher of the Year, Whos Who Among Americas Teachers and AHIMAs FORE Triumph Educator Award. 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 an M.P.S. degree from Alfred University and a B.S. from Daemen College. Ms. Green has authored three popular textbooks related to coding, revenue management and health information management.

Innehållsförteckning

1. Health Insurance Specialist Career.
2. Introduction to Health Insurance.
3. Managed Healthcare.
4. Processing an Insurance Claim.
5. Legal and Regulatory Issues.
6. ICD-10-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 Shield.
14. Medicare.
15. Medicaid.
16. TRICARE.
17. Workers' Compensation.
Appendices.
Bibliography.
Glossary.
Index.

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