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Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284087115
Total Pages : 418 pages
Book Rating : 4.2/5 (84 download)
Download or read book Health Insurance and Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2016 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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Publisher :
ISBN 13 : 9781879143364
Total Pages : 274 pages
Book Rating : 4.1/5 (433 download)
Download or read book Fundamentals of Health Insurance written by and published by . This book was released on 1997 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Michelle A. Green
Publisher : Delmar Thomson Learning
ISBN 13 : 9781401895952
Total Pages : 734 pages
Book Rating : 4.8/5 (959 download)
Download or read book Understanding Health Insurance written by Michelle A. Green and published by Delmar Thomson Learning. This book was released on 2006 with total page 734 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309219140
Total Pages : 256 pages
Book Rating : 4.3/5 (92 download)
Download or read book Essential Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 2012-02-17 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.
Author : Janet I. Beik
Publisher : Elsevier Health Sciences
ISBN 13 : 0323291767
Total Pages : 509 pages
Book Rating : 4.3/5 (232 download)
Download or read book Health Insurance Today - E-Book written by Janet I. Beik and published by Elsevier Health Sciences. This book was released on 2014-04-04 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4th Edition features completely updated content on ICD-10 coding, ARRA, HI-TECH, Version 5010, electronic health records, the Health Insurance Reform Act, and more. The friendly writing style and clear learning objectives help you understand and retain important information, with review questions and activities that encourage critical thinking and practical application of key concepts. Clear, attainable learning objectives help you focus on the most important information. What Did You Learn? review questions allow you to ensure you understand the material already presented before moving on to the next section. Direct, conversational writing style makes reading fun and concepts easier to understand. Imagine This! scenarios help you understand how information in the book applies to real-life situations. Stop and Think exercises challenge you to use your critical thinking skills to solve a problem or answer a question. HIPAA Tips emphasize the importance of privacy and following government rules and regulations. Chapter summaries relate to learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review. Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today’s competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.
Author : Brisky
Publisher : Cengage Learning
ISBN 13 : 9781418067076
Total Pages : 228 pages
Book Rating : 4.0/5 (67 download)
Download or read book Understanding Health Insurance written by Brisky and published by Cengage Learning. This book was released on 2007-12 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Janet I. Beik
Publisher : Elsevier Health Sciences
ISBN 13 : 0323293336
Total Pages : 439 pages
Book Rating : 4.3/5 (232 download)
Download or read book Workbook for Health Insurance Today - E-Book written by Janet I. Beik and published by Elsevier Health Sciences. This book was released on 2014-04-04 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: Corresponding to the chapters in Health Insurance Today, 4th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and learning activities and exercises challenge you to apply your knowledge to real-world situations. Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Critical Thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Performance objectives include hands-on, application-based learning activities in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Chapter assessments test your knowledge of text content with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Application exercises ask you to apply your knowledge and skills to real-world situations. Defining Chapter Terms help you review and understand key terms in each chapter. Problem solving/collaborative (group) activities emphasize the importance of teamwork in the health care field. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform research online. NEW! Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. UPDATED! Medicare chapter reflects updates and changes from the new presidential administration.
Author : Jill L. Brown
Publisher : Elsevier Health Sciences
ISBN 13 : 0721605567
Total Pages : 554 pages
Book Rating : 4.7/5 (216 download)
Download or read book Medical Insurance Made Easy written by Jill L. Brown and published by Elsevier Health Sciences. This book was released on 2005-12-01 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding.A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process.Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care.Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations.Sidebars and Examples highlight key concepts and information related to the core text lesson.A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry.Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities.Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Author : Timothy J. Pitcher
Publisher : Trafford Publishing
ISBN 13 : 1412062985
Total Pages : 98 pages
Book Rating : 4.4/5 (12 download)
Download or read book How to Make Sense of Health Insurance in America written by Timothy J. Pitcher and published by Trafford Publishing. This book was released on 2005-09 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does your employer have to cover maternity? Are cash-based physicians changing the way Americans access health care? How to Make Sense of Health Insurance in America explains the nuances of group and individual health insurance and the emerging trends in health care delivery and financing.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309454735
Total Pages : 129 pages
Book Rating : 4.3/5 (94 download)
Download or read book Health Insurance and Insights from Health Literacy written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-13 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the passage of the Patient Protection and Affordable Care Act (ACA), health care reform has created major changes in the U.S. health care system. The ACA has brought millions of people into the system who had no previous access, and many of these newly enrolled individuals have had limited experience navigating the complex and complicated U.S. health system. In July 2016 the National Academies of Sciences, Engineering, and Medicine convened a public workshop to examine health insurance through the lens of health literacy, focusing on literacy related barriers to information and coverage as well as on possible solutions. Participants discussed the role of health literacy in accessing health care and remaining in treatment; delivery and financing system reforms that affect organizational health literacy; and quality and equity considerations. This publication summarizes the presentations and discussions from the workshop.
Author : Alexis Pozen
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284143686
Total Pages : 204 pages
Book Rating : 4.2/5 (841 download)
Download or read book Navigating Health Insurance written by Alexis Pozen and published by Jones & Bartlett Learning. This book was released on 2017-02-24 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Navigating Health Insurance examines health insurance from the perspective of the consumer. Students are introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others.The impacts of the ACA on health insurance are explored as well as essential services and coverage decisions, long term care, workers compensation, administration/paper work, filing claims and more.Students will also be challenged to consider market and social justice philosophies, for example the impact on health insurance and access to health care services, international comparisons, and advantages and disadvantages of the U.S. system.
Author :
Publisher :
ISBN 13 : 9781879143227
Total Pages : 266 pages
Book Rating : 4.1/5 (432 download)
Download or read book Individual Health Insurance written by and published by . This book was released on 1994 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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Publisher :
ISBN 13 : 9781879143210
Total Pages : 232 pages
Book Rating : 4.1/5 (432 download)
Download or read book Individual Health Insurance written by and published by . This book was released on 1994-01 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : C. W. Conrad
Publisher : Xlibris Corporation
ISBN 13 : 1984578731
Total Pages : 193 pages
Book Rating : 4.9/5 (845 download)
Download or read book Health Insurance in America written by C. W. Conrad and published by Xlibris Corporation. This book was released on 2020-05-21 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: When you hear the words "Health Insurance" do you break out into a cold-sweat? When you call your insurance company are you more confused and frustrated about your coverage after you hang up? You are not alone. Some studies say that more than one in four people in America have avoided care or treatment because they were unsure of what their health insurance covered, and a surprisingly large number of people were unsure if they even had health insurance. Health Insurance in America, a consumer's guide, is the first comprehensive health insurance guide written specifically for you; the consumer, to help you navigate the complex and often confusing world of Health Insurance, and make better decisions. It's written in easy to understand language and filled with real-life examples. Regardless of your prior experience or knowledge of insurance, you will find this guide to be an important part of your library. Now includes a look at the health insurance impact during the coronavirus pandemic of 2019/2020.
Author : Karen Davis
Publisher : Brookings Institution Press
ISBN 13 : 9780815717607
Total Pages : 200 pages
Book Rating : 4.7/5 (176 download)
Download or read book National Health Insurance written by Karen Davis and published by Brookings Institution Press. This book was released on 1975 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Monograph on proposals for a system of national level health insurance for the USA - analyses in terms of cost benefit analysis seven major proposals introduced in congress, outlines the features most needed to ensure health services for all and to improve their efficiency, covers the current situation (incl. Medicare and medicaid), and includes recommendations for a plan. Graphs, references and statistical tables.
Author : Linda Smith
Publisher : Elsevier Health Sciences
ISBN 13 : 0323594298
Total Pages : 544 pages
Book Rating : 4.3/5 (235 download)
Download or read book Fordney’s Medical Insurance - E-Book written by Linda Smith and published by Elsevier Health Sciences. This book was released on 2019-01-18 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney’s Medical Insurance equips you with the medical insurance skills you need to succeed in any of today’s outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart® for the Medical Office (SCMO) activities on the companion Evolve website give you the opportunity to practice using electronic medical records. UNIQUE! Interactive UB-04 Form filler on Evolve gives you additional practice with inpatient Electronic Health Records. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure you are compliant with the latest regulations. Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation. Increased focus on electronic filing/claims submission prepares you for the industry-wide transition to electronic claims submission. Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares you for your role in the workplace. Detailed examples of potential situations throughout text signal you to be attentive to these types of occurrences. Specialized icons throughout text alert you to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of. Procedures clearly outline in step-by-step format detail common responsibilities of the medical insurance specialist. SimChart® for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap. Key terms are defined and emphasized throughout the text to reinforce your understanding of new concepts and terminology. NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.
Author : William S. Stevens
Publisher : Nova Publishers
ISBN 13 : 9781590336878
Total Pages : 224 pages
Book Rating : 4.3/5 (368 download)
Download or read book Health Insurance written by William S. Stevens and published by Nova Publishers. This book was released on 2003 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health insurance issues and background covered in this new book encompass the latest and most controversial problems and events in an area of crucial interest to everyone. The latest statistics indicate more than 45 million people are currently uninsured; a number which is consistently increasing. This dire situation forms part of a sociological crisis in America where a large segment of the population will be subject to severe health problems while the wealthy enjoy first rate medical care and longevity. Contents: Introduction; Health Insurance and Medical Care: Physician Services under Managed Care; Health Insurance: Reforming the Private Market; The Health Insurance Portability and Accountability Act; HIPAA): Summary of the Administrative Simplification Provisions; Health Insurance: Explaining Differences in Counts of the Uninsured; Health Insurance: Federal Data Sources for Analyses of the Uninsured; Health Insurance Continuation Coverage under COBRA; Health Insurance for Federal Employees and Retirees; Health Insurance for Displaced Workers; Health Insurance: Uninsured by State, 2001; Health Insurance Coverage: Characteristics of the Insured and Uninsured Populations in 20
