Description

Book Synopsis


Table of Contents
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

Beiks Health Insurance Today

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A Paperback / softback by Julie Pepper

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    View other formats and editions of Beiks Health Insurance Today by Julie Pepper

    Publisher: Elsevier - Health Sciences Division
    Publication Date: 08/11/2023
    ISBN13: 9780323884006, 978-0323884006
    ISBN10: 0323884008
    Also in:
    Nursing and ancillary services

    Description

    Book Synopsis


    Table of Contents
    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

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