Understanding Your Health Insurance

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Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Coverage Matters

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309076099
Total Pages : 204 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Coverage Matters by : Institute of Medicine

Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

The Affordable Care Act

Author : Tamara Thompson
Publisher : Greenhaven Publishing LLC
ISBN 13 : 0737776196
Total Pages : 130 pages
Book Rating : 4.7/5 (377 download)

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Book Synopsis The Affordable Care Act by : Tamara Thompson

Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Understanding Your Health Insurance

Author : Narilyn Baylon
Publisher :
ISBN 13 : 9781533455031
Total Pages : 110 pages
Book Rating : 4.4/5 (55 download)

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Book Synopsis Understanding Your Health Insurance by : Narilyn Baylon

Download or read book Understanding Your Health Insurance written by Narilyn Baylon and published by . This book was released on 2016-06-15 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uncover and Breakthrough your Questions and skepticism about Health Insurance!Are you always skeptical about health insurance? I don't blame you because even when you don't use your health insurance, you keep paying for it every month, and it seems like a waste of money. Are you worried about the cost? Is that the reason you don't have health insurance? What if I tell you that you don't have to worry at all! Cost varies from $49 to $500. You can get government aid insurance or faith-based insurance which usually provide cheaper rates based on your situation. Are you always challenged about the confusing policy? Most of us are because the policy is very long and foreign to our knowledge. This book will simplify it for you! Do you know how it all works, especially the financial snafu? You probably don't, but I will tell you how important it is that you should understand this area as this is the most critical. We are talking about your money, your financial obligations, and how you should handle it. Do you get surprising bills in the mail when you expected it to be covered by your health insurance? Many people are surprised when they receive a bill when they think it should be covered by their health insurance. Do you know what your benefits and coverage are? You'll be surprised how many benefits are covered by your health insurance, but we don't know about most of them unless we ask or thoroughly search them. This book will tell you exactly what those benefits and coverages are. Once you discover all of them, you'll be thankful you have health insurance and your skeptical mind will find its light!In 2016, of an estimated 323 million people in United States, at least 44 million are uninsured! Whether you are insured or uninsured or you are an EMPLOYEE, EMPLOYER, PROVIDER or HEALTH INSURANCE, this book is for you! This book simplifies the daunting and confusing, yet very important issue of health insurance.This book will UNCOVER the basics, BREAK through the confusing financial obligations such as PREMIUMS, DEDUCTIBLES, OUT-OF-POCKET, COPAYS, and COINSURANCE. It represents facts based on real work experiences that I will be sharing with you so you don't have to go through what I had to go through. Start uncovering your health insurance today and ENJOY the greatness of health benefits and coverage it provides.

Medical Insurance Made Easy - E-Book

Author : Jill Brown
Publisher : Elsevier Health Sciences
ISBN 13 : 0323277012
Total Pages : 560 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Medical Insurance Made Easy - E-Book by : Jill Brown

Download or read book Medical Insurance Made Easy - E-Book written by Jill Brown and published by Elsevier Health Sciences. This book was released on 2013-08-07 with total page 560 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.

Health Insurance is a Family Matter

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309169054
Total Pages : 296 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine

Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

Health Insurance 101

Author : Marilynn Drohan
Publisher : Independently Published
ISBN 13 :
Total Pages : 154 pages
Book Rating : 4.4/5 (78 download)

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Book Synopsis Health Insurance 101 by : Marilynn Drohan

Download or read book Health Insurance 101 written by Marilynn Drohan and published by Independently Published. This book was released on 2021-09-04 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: When choosing the right health insurance plan for your specific needs and budget, it's important to consider all the options available to you. However, we understand that this is easier said than done and that there are a lot of confusing factors to keep in mind. Whether you're trying to find the best type of plan to choose through your employer-sponsored coverage, or you're just beginning to look into your individual health insurance options, this guide aims to break down the basics and provide you with additional resources to supplement your insurance journey. This is a useful, factual, non-partisan look at the current system for health insurance and getting health care in the U.S., including practical tips to help you save money on your health care, whether you have insurance or not. It is especially intended for self-employed people, freelancers, small-business owners, and others without access to employment-based group health insurance to understand all of the options and ways to save money. However, anyone can benefit from the useful tips and tricks as well as the overviews of important laws and issues for context. This well-researched book is full of valuable information, insights, and money-saving tips, and includes topics such as: -Different types of health insurance demystified and explained in a straightforward way -Practical advice on how to evaluate health plan options -How the Affordable Care Act of 2010 affected health insurance -How the premium subsidies work for individual insurance -Pros and cons of health care options and links for further reading -Interesting factoids on the continuing upward trend in healthcare costs and potential solutions Some of the many programs and options discussed include: -Individual insurance from the marketplace and outside the marketplace -Employment-based insurance for small and large businesses -Health savings accounts and ways to use them -Government programs including Medicaid, Medicare, and military heath programs -Short-term health insurance, accident insurance, and dental and vision insurance -Healthcare cost-sharing ministries -Paying cash, negotiating discounts, concierge medicine, and direct primary care -Telemedicine, medical tourism, discount cards, health clinics, and charity care

Understanding Health Insurance

Author : Michelle A. Green
Publisher : Delmar Thomson Learning
ISBN 13 : 9781401895952
Total Pages : 734 pages
Book Rating : 4.8/5 (959 download)

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Book Synopsis Understanding Health Insurance by : Michelle A. Green

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.

Understanding Health Policy

Author : Thomas Bodenheimer
Publisher : McGraw-Hill/Appleton & Lange
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Understanding Health Policy by : Thomas Bodenheimer

Download or read book Understanding Health Policy written by Thomas Bodenheimer and published by McGraw-Hill/Appleton & Lange. This book was released on 1998 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Numerous case examples illustrate fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment. In addition, this book does a superior job linking policy issues to the practice of medicine. The second edition features a brand new chapter on payment in managed care.

Health Insurance and Insights from Health Literacy

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)

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Book Synopsis Health Insurance and Insights from Health Literacy by : National Academies of Sciences, Engineering, and Medicine

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.

Understanding Health Insurance

Author : Jo Ann C. Rowell
Publisher : Cengage Learning
ISBN 13 : 9781401837914
Total Pages : 724 pages
Book Rating : 4.8/5 (379 download)

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Book Synopsis Understanding Health Insurance by : Jo Ann C. Rowell

Download or read book Understanding Health Insurance written by Jo Ann C. Rowell and published by Cengage Learning. This book was released on 2004 with total page 724 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding Health Insurance: A Guide to Professional Billing, 7th edition,utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. the objectives of this edition are to 1) introduce information about major third party payer programs and federal health care regulations, 2) clarify coding guidelines and provide application exercises for each national diagnosis and procedure coding system, and 3) simplify the process of completing claims. Case studies and review exercises provide users with numerous opportunities to apply knowledge and to build s

MEDICAL INSURANCE, Understanding the Basics

Author :
Publisher : Lulu.com
ISBN 13 : 0615223753
Total Pages : 148 pages
Book Rating : 4.6/5 (152 download)

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Book Synopsis MEDICAL INSURANCE, Understanding the Basics by :

Download or read book MEDICAL INSURANCE, Understanding the Basics written by and published by Lulu.com. This book was released on with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Making Them Pay

Author : Rhonda D. Orin
Publisher : Macmillan + ORM
ISBN 13 : 1429979100
Total Pages : 274 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Making Them Pay by : Rhonda D. Orin

Download or read book Making Them Pay written by Rhonda D. Orin and published by Macmillan + ORM. This book was released on 2011-04-01 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Understanding Health Insurance

Author : Helen Obray
Publisher : Independently Published
ISBN 13 :
Total Pages : 154 pages
Book Rating : 4.5/5 (42 download)

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Book Synopsis Understanding Health Insurance by : Helen Obray

Download or read book Understanding Health Insurance written by Helen Obray and published by Independently Published. This book was released on 2021-05-14 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: When choosing the right health insurance plan for your specific needs and budget, it's important to consider all the options available to you. However, we understand that this is easier said than done and that there are a lot of confusing factors to keep in mind. Whether you're trying to find the best type of plan to choose through your employer-sponsored coverage, or you're just beginning to look into your individual health insurance options, this guide aims to break down the basics and provide you with additional resources to supplement your insurance journey. This is a useful, factual, non-partisan look at the current system for health insurance and getting health care in the U.S., including practical tips to help you save money on your health care, whether you have insurance or not. It is especially intended for self-employed people, freelancers, small-business owners, and others without access to employment-based group health insurance to understand all of the options and ways to save money. However, anyone can benefit from the useful tips and tricks as well as the overviews of important laws and issues for context. This well-researched book is full of valuable information, insights, and money-saving tips, and includes topics such as: -Different types of health insurance demystified and explained in a straightforward way -Practical advice on how to evaluate health plan options -How the Affordable Care Act of 2010 affected health insurance -How the premium subsidies work for individual insurance -Pros and cons of health care options and links for further reading -Interesting factoids on the continuing upward trend in healthcare costs and potential solutions Some of the many programs and options discussed include: -Individual insurance from the marketplace and outside the marketplace -Employment-based insurance for small and large businesses -Health savings accounts and ways to use them -Government programs including Medicaid, Medicare, and military heath programs -Short-term health insurance, accident insurance, and dental and vision insurance -Healthcare cost-sharing ministries -Paying cash, negotiating discounts, concierge medicine, and direct primary care -Telemedicine, medical tourism, discount cards, health clinics, and charity care

Explaining Divergent Levels of Longevity in High-Income Countries

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309217105
Total Pages : 200 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Explaining Divergent Levels of Longevity in High-Income Countries by : National Research Council

Download or read book Explaining Divergent Levels of Longevity in High-Income Countries written by National Research Council and published by National Academies Press. This book was released on 2011-06-27 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.

Understanding Health Insurance: A Guide to Billing and Reimbursement - 2020

Author : Michelle Green
Publisher : Cengage Learning
ISBN 13 : 9780357378649
Total Pages : 688 pages
Book Rating : 4.3/5 (786 download)

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Book Synopsis Understanding Health Insurance: A Guide to Billing and Reimbursement - 2020 by : Michelle Green

Download or read book Understanding Health Insurance: A Guide to Billing and Reimbursement - 2020 written by Michelle Green and published by Cengage Learning. This book was released on 2020-01-02 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.