Understanding Health Insurance
by Green, Michelle A.; Rowell, Jo Ann C.Edition: 9th
Format: Paperback
Pub. Date: 2007-12-10
Publisher(s): CENGAGE Delmar Learning
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Summary
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.
Table of Contents
| Health Insurance Specialist Career | |
| Introduction to Health Insurance | |
| Managed Health Care | |
| Development of an Insurance Claim | |
| Legal and Regulatory Issues | |
| ICD-9-CM Coding | |
| CPT Coding | |
| HCPCS Coding | |
| CMS Reimbursement Methodologies | |
| Coding for Medical Necessity | |
| Essential CMS-1500 Claim Instructions | |
| Commercial Insurance | |
| Blue Cross and Blue Shield Plans | |
| Medicare | |
| Medicaid | |
| Tricare | |
| Workers' Compensation | |
| Table of Contents provided by Publisher. All Rights Reserved. |
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