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Contents Text: Contents: Preface. Chapter 1 - Health Insurance Specialist Career. Chapter 2 - Introduction to Health Insurance. Chapter 3 - Managed Health Care Chapter 4 - Life Cycle of an Insurance Claim. Chapter 5 - Legal & Regulatory Considerations. Chapter 6 - ICD-9-CM Coding. Chapter 7 - CPT Coding. Chapter 8 - HCPCS Coding (name change from HCPCS Coding System).Chapter 9 - CMS Reimbursement Issues (name change from HCFA Reimbursement Issues).Chapter 10 - Coding for Medical Necessity (name change from Coding from Source Documents).Chapter 11 - Essential Claims Completion Guidelines (name change from Essential Claim Form Instructions).Chapter 12 - Commercial Claims (name change from Filing Commercial Claims).Chapter 13 - Blue Cross and Blue Shield Plans. Chapter 14 - Medicare. Chapter 15 - Medicaid. Chapter 16 - TRICARE. Chapter 17 - Workers'' Compensation. Appendix I - Case Study Set One. Appendix II - Case Study Set Two. Appendix III - Blank Forms. Appendix IV - Answers to Coding Exercises. Appendix V - Dental Claims Processing. Appendix VI - Essential UB-92 Billing Instructions. Appendix VII - Bibliography. Appendix VIII - Glossary. Index.
Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application-based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up-to-date information regarding health insurance claims processing and coding and reimbursement issues.

Title: Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Ed.

Author: Jo Ann C. RowellMichelle A. Green

ISBN: 1401895956

Price: List: 99.95 YOUR PRICE: 94.95

Publisher: CENGAGE Delmar Learning

Year: 2006

# of Pages: 720