From Book News, Inc.
A book/CD-ROM package highlighting concepts and procedures for preparing and submitting health insurance claims. Concise descriptions of procedures and basic coding are clarified through examples and exercises. This edition keeps current with new coding rules, and features key words, answers to exercises, and chapter reviews. The accompanying CD-ROM contains practice claim forms for students to complete, and comes with a manual for use. The author teaches at the Community College of Baltimore, and founded the Medical Assisting Department at Anne Arundel Community College.Book News, Inc.®, Portland, OR
Book Description
Understanding Health Insurance: A Guide to Professional Billing, 7th edition, is a comprehensive guide for those learning about health insurance claims processing and reimbursement issues. The text utilizes a step-by-step approach to successful completion of health insurance claims. The objectives of this edition are to 1) introduce information about major third party payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately. Numerous examples help clarify key concepts. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing UB-92 (CMS-1450) claims and dental claims.
Book Info
Community College of Baltimore County, Catonsville Campus, MD. Brandon/Hill Allied Health List selection (#151). Reference provides current data regarding federal healthcare regulations, reimbursement issues. third-party payers, and coding guidelines for accurate claim submission. Previous edition: c2002. Three-hole punched with perforated pages. Softcover.
From the Publisher
Delmar Thomson Learning) Textbook for undergraduates studying to be medical assistants, coding and insurance specialists, and health information technicians. Updated to include Internet links in every chapter, revisions in every chapter, and ICD-10 and UB-92 content.Previous edition: c1999. Perfect bound.
Understanding Health Insurance: A Guide to Professional Billing ANNOTATION
"...highlights the concepts and procedures that medical assistants and medical claims specialists need to know to prepare and submit accurate health insurance claims."
FROM THE PUBLISHER
This complete worktext and practice software learning package highlights the concepts and procedures that medical assistants and medical claims specialists need to know to prepare and submit accurate health insurance claims. Features/Benefits: the most current and accurate learning package available; free Practice Software (3.5" Windows) packaged with the text - Completely Revised - permits completion of computer-generated claim forms and reinforces learning; incorporates the latest regulations and practices for preparing and submitting health insurance claims; specific program templates ensure that all information necessary for claim processing is provided for each major insurance program discussed; and templates guide learners in preparing accurate claim forms: commercial carrier; Blue Cross/Blue Shield; Workers' Compensation; basic Medicare; Medicare and Medigap, Medicare and Medicaid, Medicare as a secondary payor; Medicaid; and CHAMPUS.
SYNOPSIS
This vocational workbook outlines medical plan options, carrier requirements, and federal regulations, and explains how to extract relevant information from source documents, accurately complete claims, and code diagnoses and procedures. Perforated pages. The CD-ROM contains sample case study CMS-1500 claims for practice. Annotation ©2003 Book News, Inc., Portland, OR
FROM THE CRITICS
Booknews
A book/CD-ROM package highlighting concepts and procedures for preparing and submitting health insurance claims. Concise descriptions of procedures and basic coding are clarified through examples and exercises. This edition keeps current with new coding rules, and features key words, answers to exercises, and chapter reviews. The accompanying CD-ROM contains practice claim forms for students to complete, and comes with a manual for use. The author teaches at the Community College of Baltimore, and founded the Medical Assisting Department at Anne Arundel Community College. Annotation c. Book News, Inc., Portland, OR (booknews.com)