Understanding Health Insurance

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Author: Michelle Green; Jo Ann C. Rowell
Edition: 009
Product Type: Book w/Multimedia (CD, DVD or Electronic)
ISBN 13: 9781418067069
ISBN 10: 1418067067
Copyright: 2008

Price: $189.95

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Description:

With Understanding Health Insurance: A Guide to Billing and Reimbursement, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Exercises in each chapter give you plenty of practice to learn how to bill and reimburse. The accompanying workbook provides more application-based assignments for each chapter, content review, and additional case studies.

Features:

  • Fully updated to latest code sets, guidelines, CMS-1500, and UB-04 claim forms
  • "One-stop-shopping" approach sets discussions of diagnosis and procedure coding alongside reimbursement and legal issues
  • Patient case studies on CD-ROM and in Appendices I and II provide opportunity for manual or electronic CMS-1500 form completion
  • The CD case studies also appear in Appendix I and II of the text for easy reference
  • Accompanying Workbook provides application-based exercises for each chapter, plus additional case studies that require CMS-1500 claim form completion
  • Chapter 9 provides instruction on the UB-04 hospital claim form, revenue codes, and the Chargemaster
  • Chapter 11 has been updated to reflect changes in the CMS-1500 form and claim instructions, including the addition of the National Provider Identification (NPI) number
  • SIMClaim student practice software now features a 'print to PDF' function that makes it easier to save and e-mail forms
  • In addition to chapter quizzes and games, the StudyWare CD-ROM now features unique, scenario-based coding cases that use multimedia to enhance coding practice
  • Free trial CD-ROM of EncoderPro, Ingenix's powerful coding tool

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