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Understanding Health Insurance: A Guide to Billing and Reimbursement [with Premi

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Subject
Administration, Insurance / Health, General
ISBN
9781305647428
Subject Area
Business & Economics, Medical
Publication Name
Understanding Health Insurance : A Guide to Billing and Reimbursement (with Premium Web Site, 2 Terms (12 Months) Printed Access Card and Cengage EncoderPro. com Demo Printed Access Card)
Item Length
10.9 in
Publisher
Delamr Cengage Learning
Publication Year
2016
Series
Mindtap Course List Ser.
Type
Textbook
Format
Trade Paperback
Language
English
Item Height
1.1 in
Author
Michelle Green
Item Width
8.6 in
Item Weight
52.9 Oz
Number of Pages
832 Pages

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Product Information

Discover the essential tool to prepare for a career in medical insurance billing -- UNDERSTANDING HEALTH INSURANCE, 13E. This comprehensive, easy-to-understand, updated book presents the latest code sets and guidelines. You cover today's most important topics, such as managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care, including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; case mix management; hospital-acquired conditions; present on admission; and value-based purchasing. Practice exercises and the workbook (available separately) provides application-based assignments and case studies to reinforce your understanding, as well as CMRS, CPC-P, and CPB Mock Exams. New editions include online access to SimClaim(TM) CMS-1500 claims completion software and Optum's EncoderPro.com Expert(TM).

Product Identifiers

Publisher
Delamr Cengage Learning
ISBN-10
1305647424
ISBN-13
9781305647428
eBay Product ID (ePID)
219291967

Product Key Features

Author
Michelle Green
Publication Name
Understanding Health Insurance : A Guide to Billing and Reimbursement (with Premium Web Site, 2 Terms (12 Months) Printed Access Card and Cengage EncoderPro. com Demo Printed Access Card)
Format
Trade Paperback
Language
English
Subject
Administration, Insurance / Health, General
Publication Year
2016
Series
Mindtap Course List Ser.
Type
Textbook
Subject Area
Business & Economics, Medical
Number of Pages
832 Pages

Dimensions

Item Length
10.9 in
Item Height
1.1 in
Item Width
8.6 in
Item Weight
52.9 Oz

Additional Product Features

Edition Number
13
LCCN
2015-940471
Lc Classification Number
Hg9396.R68 2017
Reviews
Almost across the board, students using MindTap improved on the main learning objectives of the class ...I've never seen any results like this., MindTaps greatest strengths are the progress tracking and the ability to add [your own] materials that are gradable., Almost across the board, students using MindTap improved on the main learning objectives of the class ...Ive never seen any results like this., Im convinced that the higher course ratings and grades were, in large part, a result of studentsengagement. It was an unmitigated success., I'm convinced that the higher course ratings and grades were, in large part, a result of students' engagement. It was an unmitigated success., The EncoderPRO Software 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. I like the fact that there is an electronic grade book. There are also SimClaim assignments that students can accomplish through the web. The fact that it is all web-based is a MAJOR PLUS! I like MindTap. I think it is a great resource both for students and teachers. Great resources for students. Easily accessible. Gradebook is a major plus for professors.", MindTap's greatest strengths are the progress tracking and the ability to add [your own] materials that are gradable., I am a fan of this book and I do think the key terms are helpful in the learning process. From the time I added this book to our curriculum until now this book has grown and has only gotten better over time. It's a great book and has well written content. We are enjoying MindTap, and I do feel it is benefiting the students with hands-on examples...very pleased that the MindTtap walks students through the filling out of the insurance claims. I think the SimClaims are very helpful and provide hands-on experience for the students., The EncoderPRO Software 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. I like the fact that there is an electronic grade book. There are also SimClaim assignments that students can accomplish through the web. The fact that it is all web-based is a MAJOR PLUS! I like MindTap. I think it is a great resource both for students and teachers. Great resources for students. Easily accessible. Gradebook is a major plus for professors.
Table of Content
1. Health Insurance Specialist Career. 2. Introduction to Health Insurance. 3. Managed Health Care. 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. WorkersCompensation. Appendices. Bibliography. Glossary. Index.
Copyright Date
2017
Target Audience
College Audience
Illustrated
Yes

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