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HEALTH INSURANCE TODAY. A PRACTICAL APPROACH


BEIK J.

wydawnictwo: ELSEVIER , rok wydania 2007, wydanie I

cena netto: 360.00 Twoja cena  342,00 zł + 5% vat - dodaj do koszyka

Health Insurance Today: A Practical Approach simplifies health insurance concepts through abundant real-world examples, case studies and application exercises. Practice-based instruction, supported by the direct, conversational writing style, makes the often-complicated insurance billing and coding process understandable and accessible.

Key Features

Each chapter develops the learning objective in a manageable, direct narrative, followed by a short application exercise to ensure student comprehension.
Key terms are highlighted and defined in the margins to facilitate immediate understanding and build familiarity with industry terms.
Compliance tips located throughout teach correct billing and coding practices to comply with federal and state mandates.
Case studies, critical thinking exercises and collaborative learning activities provide ample opportunities for practice, self-assessment and confidence building.
Features the new CMS-1500 (8-05 version) throughout, to prepare students for real-world practice.
Each chapter has been carefully developed to stand on its own, making the text ideal for open entry programs.


Table of Contents

UNIT 1 - THE FIRST STEP: BUILDING A FOUNDATION
1. Medical Insurance: Where Did it Come From?
2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional
3. The Legal & Ethical Side of Medical Insurance
4. Types and Sources of Health Insurance
UNIT 2 - THE SECOND STEP: HEALTH INSURANCE BASICS
5. The “Universal” Claim Form: CMS-1500
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 - TRICARE/CHAMPVA
11. Miscellaneous Carriers: Worker’s Compensation and Disability Insurance
UNIT 3 - THE THIRD STEP: CRACKING THE CODES
12. Diagnostic Coding
13. Procedural, Evaluation & Management and HCPCS Coding
UNIT 4 - THE FOURTH STEP: THE CLAIMS PROCESS
14. The Patient
15. The Claim
UNIT 5 - AN EXTRA STEP
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures: Getting Paid
18. Hospital Claim Form: The UB-92

464 pages, Paperback

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