Understanding Health Insurance: A Guide to Billing and Reimbursement - 2020

Understanding Health Insurance: A Guide to Billing and Reimbursement - 2020

Author: Michelle Green

Publisher: Cengage Learning

Published: 2020-01-02

Total Pages: 688

ISBN-13: 9780357378649

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Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including 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. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.


Student Workbook for Green's Understanding Health Insurance

Student Workbook for Green's Understanding Health Insurance

Author: Michelle A. Green

Publisher: Cengage Learning

Published: 2018-01-02

Total Pages: 300

ISBN-13: 9781337554237

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The student workbook is designed to help you retain key chapter content. Included within this resource are chapter objective questions; key-term definition queries; and multiple choice, fill-in-the-blank, and true-or-false problems


Understanding Health Insurance

Understanding Health Insurance

Author: Jo Ann C. Rowell

Publisher: Cengage Learning

Published: 2004

Total Pages: 724

ISBN-13: 9781401837914

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Understanding Health Insurance: A Guide to Professional Billing, 7th edition,utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. the objectives of this edition are to 1) introduce information about major third party payer programs and federal health care regulations, 2) clarify coding guidelines and provide application exercises for each national diagnosis and procedure coding system, and 3) simplify the process of completing claims. Case studies and review exercises provide users with numerous opportunities to apply knowledge and to build s


Understanding Health Insurance: a Guide to Billing and Reimbursement -

Understanding Health Insurance: a Guide to Billing and Reimbursement -

Author: Michelle Green

Publisher:

Published: 2022-01-03

Total Pages: 704

ISBN-13: 9780357621356

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Strengthen your skills and develop a solid foundation in medical insurance processing and revenue management with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2022 Edition. This reader-friendly, comprehensive resource explains the latest developments and medical code sets and coding guidelines as you learn how to assign ICD-10-CM, CPT 2022 codes and HCPCS level II codes, complete health care claims and master revenue management concepts. You focus on important topics such as the latest managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity and common health insurance plans. New material introduces electronic claims, performance measurement and processing clinical quality language. A helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer practice in CMS-1500 claims completion and assigning codes.


Understanding Health Insurance

Understanding Health Insurance

Author: Michelle A. Green

Publisher:

Published: 2015

Total Pages: 0

ISBN-13: 9781285737591

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Understanding Health Insurance, 12th Edition, is the essential learning tool your students need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The twelfth edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the workbook (available separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online SimClaim� CMS-1500 claims completion software, and free-trial access to Optum's EncoderPro.com�Expert encoder software.


Comprehensive Health Insurance

Comprehensive Health Insurance

Author: Deborah Vines

Publisher: Pearson Higher Ed

Published: 2013-04-01

Total Pages: 984

ISBN-13: 0133045250

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This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.