Understanding Health Insurance by Michelle Green

Description: About this productProduct InformationPrepare for a career in health information management and medical billing and insurance processing with Green's UNDERSTANDING HEALTH INSURANCE, 14E. This comprehensive, inviting book presents the latest code sets and guidelines. Examine today's most important topics, such as managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care, including changes to the Affordable Care Act (Obamacare); ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Workbook exercises provide application-based assignments and case studies, as well as CMRS, CPC-P, and CPB mock exams. This edition also offers online access to SimClaim(tm) CMS-1500 claims completion software.Product IdentifiersPublisherDelamr Cengage LearningISBN-101337554227ISBN-139781337554220eBay Product ID (ePID)239977943Product Key FeaturesAuthorMichelle GreenPublication NameUnderstanding Health Insurance : a Guide to Billing and ReimbursementFormatTrade PaperbackLanguageEnglishFeaturesRevisedSeriesMindtap Course List Ser.Publication Year2018TypeTextbookNumber of Pages736 PagesDimensionsItem Length10.9in.Item Height0.9in.Item Width8.5in.Item Weight44.8 OzAdditional Product FeaturesLc Classification NumberHg9386.5Edition DescriptionRevised EditionEdition Number14Reviews"Chapter 11, "Essential CMS-1500 Claim Instructions": Very detailed explanation. Lesson is timed appropriately. Good mention of optical scanning guidelines (and) national provider identifier. This chapter provides good detail on all portions of the form. Students retain the information and are able to immediately apply it.", Chapter 11, Essential CMS-1500 Claim Instructions: Very detailed explanation. Lesson is timed appropriately. Good mention of optical scanning guidelines (and) national provider identifier. This chapter provides good detail on all portions of the form. Students retain the information and are able to immediately apply it., The book provides a strong and detailed look at the main insurance companies in the USA - Medicare, Medicaid, and BC/BS. The product has MindTap which allows students many more options than before...In addition to the electronic grade book in MindTap, there is also the SimClaim assignments that students can accomplish through the web...The fact that it is all web based is a MAJOR PLUS!, The book provides a strong and detailed look at the main insurance companies in the USA - Medicare, Medicaid, and BC/BS. The product has MindTap which allows students many more options than beforeIn addition to the electronic grade book in MindTap, there is also the SimClaim assignments that students can accomplish through the web...The fact that it is all web based is a MAJOR PLUS!Table of Content1. Health Insurance Specialist Career. 2. Introduction to Health Insurance. 3. Managed Health Care. 4. Revenue Cycle Management. 5. Legal and Regulatory Issues. 6. ICD-10-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9. CMS Reimbursement Methodologies. 10. Coding Compliance, Clinical Documentation Improvement, and Coding for Medical Necessity. 11. CMS-1500 and UB-04 Claims. 12. Commercial Insurance. 13. Blue Cross Blue Shield. 14. Medicare. 15. Medicaid. 16. TRICARE. 17. WorkersCompensation. Appendices. Bibliography. Glossary. Index.Copyright Date2019Target AudienceCollege AudienceTopicAdministration, Insurance / Health, General, Insurance / GeneralLccn2017-957882Dewey Decimal362.3820973Dewey Edition23GenreBusiness & Economics, Medical

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