Health Insurance Today
Saunders (Verlag)
978-0-323-65553-8 (ISBN)
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.
Janet Beik has degrees in business and higher education. Janet was an instructor in the Medical Assistant Program at Southeastern Community College, in West Burlington, Iowa, for several years. She authored the first edition of her book, Health Insurance Today in 2003, and the 7th edition has just published. Julie Pepper has spent her entire career in health care, first as a medical assistant in a variety of offices and clinics, developing expertise in the electronic health record. She combines her education in dietetics with her clinical and administrative experience as an instructor in the Medical Assisting program at Chippewa Valley Technical College in Wisconsin, where she has taught for the past 18 years. Julie is also the program director for the college's new Health Navigator program. She has served as reviewer and contributor to numerous Medical Assisting educational products over the last decade, including SimChart for the Medical Office; she currently serves as sole author of The Electronic Health Record for the Physician's Office and The Simulated Administrative Medical Office and co-author of Health Insurance Today, 7e. She is taking over sole authorship of what will be titled Beik's Health Insurance Today, 8e
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
| Erscheinungsdatum | 30.01.2020 |
|---|---|
| Verlagsort | Philadelphia |
| Sprache | englisch |
| Maße | 216 x 276 mm |
| Gewicht | 1020 g |
| Themenwelt | Informatik ► Weitere Themen ► Bioinformatik |
| Medizin / Pharmazie ► Allgemeines / Lexika | |
| Medizin / Pharmazie ► Pflege | |
| ISBN-10 | 0-323-65553-X / 032365553X |
| ISBN-13 | 978-0-323-65553-8 / 9780323655538 |
| Zustand | Neuware |
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