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Health Insurance Today: A Practical Approach by Janet I. Beik, 5th Edition

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ISBN
0323188176
Publication Year
2014
Type
Textbook
Format
Trade Paperback
Language
English
Publication Name
Health Insurance Today : a Practical Approach
Author
Janet I. Beik
Item Length
10.9in
Publisher
Elsevier-Health Sciences Division
Item Width
8.5in
Number of Pages
528 Pages

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Learn to complete and submit clean claim forms for major insurance carriers. Health Insurance Today, 3rd Edition, provides case studies for each of the chapters covering these major payers so you can learn how to abstract the information from the patient's chart to complete the CMS-1500. You will learn to complete and submit paper claims, but the emphasis is on electronic claims filing, keeping you up-to-date on HIPAA, electronic health records, and the latest industry standards. Select exercises on the companion Evolve Resource site let you gain experience entering information into a practice management program; producing an electronic CMS-1500; and submitting a claim electronically. Clear, attainable learning objectives help you focus on the most important information. What Did You Learn? review questions allow you to ensure you understand the material already presented before moving on to the next section. Direct, conversational writing style makes reading fun and concepts easier to understand. Imagine This! scenarios help you understand how information in the book applies to real-life situations. Stop and Think exercises challenge you to use your critical thinking skills to solve a problem or answer a question. HIPAA Tips emphasize the importance of privacy and following government rules and regulations. Chapter summaries relate to learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review. Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today's competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.

Product Identifiers

Publisher
Elsevier-Health Sciences Division
ISBN-10
0323188176
ISBN-13
9780323188173
eBay Product ID (ePID)
202455804

Product Key Features

Author
Janet I. Beik
Publication Name
Health Insurance Today : a Practical Approach
Format
Trade Paperback
Language
English
Publication Year
2014
Type
Textbook
Number of Pages
528 Pages

Dimensions

Item Length
10.9in
Item Width
8.5in

Additional Product Features

Lc Classification Number
Hg9396
Edition Number
5
Table of Content
Unit 1: Building a Foundation 1. The Origins of Health Insurance 2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional 3. The Legal and Ethical Side of Medical Insurance 4. Types and Sources of Health Insurance Unit 2: Health Insurance Basics 5. Claim Submission Methods 6. Traditional Fee-for-Service/Private Plans 7. Unraveling the Mysteries of Managed Care 8. Understanding Medicaid 9. Conquering Medicare's Challenges 10. Military Carriers 11. Miscellaneous Carriers: Workers' Compensation and Disability Insurance Unit 3: Cracking the Codes 12. Diagnostic Coding 13. Procedural, Evaluation and Management, and HCPCS Coding Unit 4: The Claims Process 14. The Patient 15. Keys to Successful Claims Management Unit 5: Advanced Application 16. The Role of Computers in Health Insurance 17. Reimbursement Procedures: Getting Paid 18. Hospital Billing and the UB-04 Appendix A: Sample Blank CMS-1500 (02-12) Appendix B: CMS-1500 Claim Forms and Completion Instructions Appendix C: UB-04 Claim Form and Completion Instructions Glossary
Copyright Date
2015
Target Audience
Scholarly & Professional
Topic
Medical History & Records, Insurance / Health
Dewey Decimal
368.38/200973
Dewey Edition
23
Illustrated
Yes
Genre
Business & Economics, Medical

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