Beik's Health Insurance Today
Elsevier - Health Sciences Division (Verlag)
978-0-323-88400-6 (ISBN)
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.
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 I BUILDING A FOUNDATION
1 The Origins of Health Insurance
2 Tools of the Trade: A Career as a Health Insurance Professional
3 The Legal and Ethical Side of Health Insurance
4 Healthcare Reform: Coverage Types and Sources
5 The Patient and the Billing Process
UNIT II HEALTH INSURANCE BASICS
6 Reimbursement Models
7 Understanding Managed Care
8 Understanding Medicare
9 Understanding Medicaid
10 Understanding Military Carriers
11 Understanding Miscellaneous Carriers: Workers' Compensation and Disability Insurance
UNIT III CLAIMS SUBMISSION
12 Claim Submission Methods
13 Diagnostic Coding
14 Procedural, Evaluation and Management, and HCPCS Coding
15 Claims Management
UNIT IV 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 Forms and Completion Instructions
Glossary
Index
| Erscheinungsdatum | 17.11.2023 |
|---|---|
| Verlagsort | Philadelphia |
| Sprache | englisch |
| Maße | 216 x 276 mm |
| Gewicht | 1090 g |
| Themenwelt | Informatik ► Weitere Themen ► Bioinformatik |
| Medizin / Pharmazie ► Pflege | |
| ISBN-10 | 0-323-88400-8 / 0323884008 |
| ISBN-13 | 978-0-323-88400-6 / 9780323884006 |
| Zustand | Neuware |
| Haben Sie eine Frage zum Produkt? |
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