Health Insurance Today - E-Book

Health Insurance Today - E-Book

Author: Janet I. Beik

Publisher: Elsevier Health Sciences

Published: 2020-09-10

Total Pages: 522

ISBN-13: 0323655548

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Master the complexities of health insurance with this easy-to-understand guide! Health Insurance Today: A Practical Approach, 7th Edition provides a solid foundation in basics such as the types and sources of health insurance, the submission of claims, and the ethical and legal issues surrounding insurance. It follows the claims process from billing and coding to reimbursement procedures, with realistic practice on the Evolve website. This edition adds coverage of the latest advances and issues in health insurance, including EHRs, Medicare, and other types of carriers. Written by Medical Assisting educators Janet Beik and Julie Pepper, this resource prepares you for a successful career as a health insurance professional. - What Did You Learn? review questions, Imagine This! scenarios, and Stop and Think exercises ensure that you understand the material, can apply it to real-life situations, and develop critical thinking skills. - Clear, attainable learning objectives highlight the most important information in each chapter. - CMS-1500 software with case studies on the Evolve companion website provides hands-on practice with filling in a CMS-1500 form electronically. - UNIQUE! UB-04 software with case studies on Evolve provides hands-on practice with filling in UB-04 forms electronically. - UNIQUE! SimChart® for the Medical Office (SCMO) cases on Evolve give you real-world practice in an EHR environment. - HIPAA Tips emphasize the importance of privacy and of following government rules and regulations. - Direct, conversational writing style makes it easier to learn and remember the material. - End-of-chapter summaries relate to the chapter-opening learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review. - Chapter review questions on Evolve help you assess your comprehension of key concepts - NEW and UNIQUE! Patient's Point of View boxes enable you to imagine yourself on the other side of the desk. - NEW and UNIQUE! Opening and closing chapter scenarios present on-the-job challenges that must be resolved using critical thinking skills. - NEW! End-of-chapter review questions ensure that you can understand and apply the material. - NEW! Clear explanations show how electronic technology is used in patient verification, electronic claims, and claims follow-up. - NEW! Coverage of the Affordable Care Act introduces new and innovative ways that modifications to the ACA allow people to acquire healthcare coverage. - NEW! Updated information addresses all health insurance topics, including key topics like Medicare and Electronic Health Records. - NEW! More emphasis on electronic claims submission has been added. - NEW! Updated figures, graphs, and tables summarize the latest health insurance information.


Health Insurance Today

Health Insurance Today

Author: Janet I. Beik

Publisher: Elsevier Health Sciences

Published: 2013

Total Pages: 509

ISBN-13: 1455708194

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With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4th Edition features completely updated content on ICD-10 coding, ARRA, HI-TECH, Version 5010, electronic health records, the Health Insurance Reform Act, and more. The friendly writing style and clear learning objectives help you understand and retain important information, with review questions and activities that encourage critical thinking and practical application of key concepts.


Beik's Health Insurance Today - E-Book

Beik's Health Insurance Today - E-Book

Author: Julie Pepper

Publisher: Elsevier Health Sciences

Published: 2023-09-14

Total Pages: 506

ISBN-13: 0323934102

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**Selected for Doody's Core Titles® 2024 in Managed Care** Master the complexities of health insurance with this easy-to-understand guide! Beik's Health Insurance Today, 8th Edition provides a solid foundation in basics such as the types and sources of health insurance, the submission of claims, and the ethical and legal issues surrounding insurance. It follows the claims process from billing and coding to reimbursement procedures, with realistic practice on the Evolve companion website. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and cost/value calculators. Making difficult concepts seem anything but, this resource prepares you for a successful career as a health insurance professional. - Direct, conversational writing style makes learning insurance and billing concepts easier. - Clear and attainable learning objectives, with chapter content that follows the order of the objectives, make learning easier for students and make chapter content easier to teach for educators. - Learning features include review questions, scenarios, and additional exercises to ensure comprehension, critical thought, and application to practice. - Hands-on practice with a fillable CMS-1500 form and accompanying case studies and unique UB-04 forms on the companion Evolve website, ensure practicum- and job-readiness. - HIPAA Tips emphasize the importance of privacy and government rules and regulations, ensuring a solid foundation in regulatory compliance. - NEW! Additional content on cybersecurity emphasizes the importance of keeping digital information private and secure. - NEW! Information on crowdfunding for medical bills discusses how this practice affects billing. - NEW! Geographic Practice Cost Indexes/Resource Based Relative Value Scale (GPCI/RBPVU) calculators are included. - NEW! Coverage of COVID-19 explores its impact on billing, reimbursement, and employment.


ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

Author: Department Of Health And Human Services

Publisher: Lulu.com

Published: 2020-09-06

Total Pages: 128

ISBN-13: 9781716599989

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These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.


Operating Room Leadership and Management

Operating Room Leadership and Management

Author: Alan D. Kaye

Publisher: Cambridge University Press

Published: 2012-10-04

Total Pages: 305

ISBN-13: 1139789430

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Effective management of the OR is critical in all clinical settings, where ensuring that policies, systems, staff members and teams are efficient, safe and cost-effective is paramount. Operating Room Leadership and Management is a comprehensive resource for physicians and administrators involved in the day-to-day management of operating rooms in a hospital setting or smaller-scale facilities. Topics include: • OR metrics • Scheduling • Human resource management • Leadership • Economics • IT management • Quality assurance • Recovery. This practical, evidence-based text is written by leaders in the field of OR management and is relevant to medical directors, administrators and managing physicians. Specific nursing considerations, preoperative patient evaluation, financial performance measures and pain clinic management are also discussed in detail. Operating Room Leadership and Management enables all OR managers to improve the efficiency and performance of their operating rooms.


Effective Management of Coding Services

Effective Management of Coding Services

Author: Lou Ann Schraffenberger

Publisher:

Published: 2002

Total Pages: 376

ISBN-13:

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This is a resource for coding managers across the continuum of health care settings, with a special emphasis on acute-care and hospital-based ambulatory settings. Addresses the scope and organization of clinical coding data, including standards for electronic record systems, coding practice issues, recruitment and retention of coding staff, chargemaster, management, quality control issues, compliance reporting issues, and financial issues. Contains numerous examples and case studies to illustrate issues and demonstrate how coding decisions affect other areas in the health care organization.


Public Health Informatics and Information Systems

Public Health Informatics and Information Systems

Author: J.A. Magnuson

Publisher: Springer Nature

Published: 2020-07-17

Total Pages: 515

ISBN-13: 3030412156

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This 3rd edition of a classic textbook examines the context and background of public health informatics, explores the technology and science underlying the field, discusses challenges and emerging solutions, reviews many key public health information systems, and includes practical, case-based studies to guide the reader through the topic. The editors have expanded the text into new areas that have become important since publication of the previous two editions due to changing technologies and needs in the field, as well as updating and augmenting much of the core content. The book contains learning objectives, overviews, future directions, and review questions to assist readers to engage with this vast topic. The Editors and their team of well-known contributors have built upon the foundation established by the previous editions to provide the reader with a comprehensive and forward-looking review of public health informatics. The breadth of material in Public Health Informatics and Information Systems, 3rd edition makes it suitable for both undergraduate and graduate coursework in public health informatics, enabling instructors to select chapters that best fit their students’ needs.


Hamric & Hanson's Advanced Practice Nursing - E-Book

Hamric & Hanson's Advanced Practice Nursing - E-Book

Author: Mary Fran Tracy

Publisher: Elsevier Health Sciences

Published: 2022-08-05

Total Pages: 834

ISBN-13: 0323777120

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**Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Advanced Practice** Edited and written by a "Who's Who" of internationally known thought leaders in advanced practice nursing, Hamric and Hanson's Advanced Practice Nursing: An Integrative Approach, 7th Edition provides a clear, comprehensive, and contemporary introduction to advanced practice nursing today, addressing all major APRN competencies, roles, and issues. Thoroughly revised and updated, the 7th edition of this bestselling text covers topics ranging from the evolution of advanced practice nursing to evidence-based practice, leadership, ethical decision-making, and health policy. - Coverage of the full breadth of APRN core competencies defines and describes all competencies, including direct clinical practice, guidance and coaching, evidence-based practice, leadership, collaboration, and ethical practice. - Operationalizes and applies the APRN core competencies to the major APRN roles: the Clinical Nurse Specialist, the Primary Care Nurse Practitioner, the Acute Care Nurse Practitioner (both adult-gerontology and pediatric), the Certified Nurse-Midwife, and the Certified Registered Nurse Anesthetist. - Content on managing APRN environments addresses factors such as business planning and reimbursement; marketing, negotiating, and contracting; regulatory, legal, and credentialing requirements; health policy; and nursing outcomes and performance improvement research.