Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Website Printed Access Card and Cengage EncoderPro.com Demo Printed ... (Flexible Solutions - Your Key to Success) - Softcover

Green, Michelle

Softcover

ISBN 10: 113328373X ISBN 13: 9781133283737

Publisher: Cengage Learning, 2012

Synopsis

Understanding Health Insurance, Eleventh Edition, is the essential learning tool you 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 eleventh 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 accompanying workbook(workbook sold separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online StudyWARE™ software that allows you to test your knowledge, free online SimClaim™ CMS-1500 claims completion software, and free-trial access to Ingenix's EncoderPro.com--Expert encoder software.

About this title

About the Author:

Michelle Green has been a SUNY Distinguished Teaching Professor in the Health Information Technology Department at Mohawk Valley Community College in Utica, New York, since 2017. She also serves as an adjunct faculty member for the Health Information Management Department at Mount Wachusett Community College in Gardner, Massachusetts. Ms. Green held the position of SUNY Distinguished Teaching Professor in the Physical and Life Sciences Department at the State University of New York, College of Technology for more than 30 years. An active member of the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA), Ms. Green has been recognized both for her excellence in teaching and for her significant contributions to the health information management profession. She has earned numerous awards, including the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers, and AHIMA's FORE Triumph Educator Award. Ms. Green is a Registered Health Information Administrator (RHIA), a Fellow of the American Health Information Management Association (FAHIMA), and a Certified Procedural Coder (CPC). She earned an M.P.S. degree from Alfred University and a B.S. from Daemen College. Ms. Green has authored three successful textbooks related to coding, revenue management, and health information management.

Review:

1. Health Insurance Specialist Career. 2. Introduction to Health Insurance. 3. Managed Health Care. 4. Processing an Insurance Claim. 5. Legal and Regulatory Issues. 6A. ICD-9-CM Coding. 6B. ICD-10-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9. CMS Reimbursement Methodologies. 10. Coding for Medical Necessity. 11. Essential CMS-1500 Claim Instructions. 12. Commercial Insurance. 13. Blue Cross Blue Shield. 14. Medicare. 15. Medicaid. 16. TRICARE. 17. Workers' Compensation. Appendices. Bibliography. Glossary. Index.

About this edition

• Publisher: Cengage Learning
• Publication date: 2012
• ISBN 10: 113328373X
• ISBN 13: 9781133283737
• Binding: Paperback
• Number of pages: 800