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Understanding Health Insurance: A Guide to Billing and Reimbursement, 2025 Edition

Author : Michelle Green

Publisher :

Page : 0 pages

File Size : 21,85 MB

Release : 2025-01-05

Category : Business & Economics

ISBN :

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Book Description

Enhance your skills and establish a strong foundation for success with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2025 Edition. This practical, reader-friendly resource delivers an updated guide to current medical code sets and coding guidelines, equipping you to assign ICD-10-CM, HCPCS Level II and CPT codes, complete health insurance claims and master revenue management and reimbursement concepts. Key areas covered include managed care, legal and regulatory matters, coding systems, reimbursement methods and common health insurance plans. MindTap online courseware offers an interactive simulation for completing CMS-1500 claims and assigning medical codes.



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

Author : Michelle Green

Publisher : Cengage Learning

Page : 688 pages

File Size : 38,1 MB

Release : 2020-01-02

Category : Business & Economics

ISBN : 9780357378649

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Book Description

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.



Understanding Health Insurance

Author : Jo Ann C. Rowell

Publisher : Cengage Learning

Page : 724 pages

File Size : 48,33 MB

Release : 2004

Category : Business & Economics

ISBN : 9781401837914

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Book Description

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



Understanding Health Insurance: a Guide to Billing and Reimbursement -

Author : Michelle Green

Publisher :

Page : 704 pages

File Size : 50,6 MB

Release : 2022-01-03

Category :

ISBN : 9780357621356

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Book Description

Strengthen your skills and develop a solid foundation in medical insurance processing and revenue management with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2022 Edition. This reader-friendly, comprehensive resource explains the latest developments and medical code sets and coding guidelines as you learn how to assign ICD-10-CM, CPT 2022 codes and HCPCS level II codes, complete health care claims and master revenue management concepts. You focus on important topics such as the latest managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity and common health insurance plans. New material introduces electronic claims, performance measurement and processing clinical quality language. A helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer practice in CMS-1500 claims completion and assigning codes.



Understanding Health Insurance

Author : Michelle A. Green

Publisher :

Page : 0 pages

File Size : 22,34 MB

Release : 2015

Category : Health insurance

ISBN : 9781285737591

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Book Description

Understanding Health Insurance, 12th Edition, is the essential learning tool your students 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 twelfth 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 workbook (available separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online SimClaim� CMS-1500 claims completion software, and free-trial access to Optum's EncoderPro.com�Expert encoder software.



Understanding Health Insurance: A Guide to Billing and Reimbursement

Author : Michelle A. Green

Publisher : Cengage Learning

Page : 832 pages

File Size : 43,21 MB

Release : 2014-01-10

Category : Business & Economics

ISBN : 9781285737522

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Book Description

Understanding Health Insurance, 12th Edition, is the essential learning tool your students 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 twelfth 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 workbook (available separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online SimClaimTM CMS-1500 claims completion software, and free-trial access to Optum's EncoderPro.com—Expert encoder software. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.



A Guide to Health Insurance Billing

Author : Marie A Moisio

Publisher : Cengage Learning

Page : 0 pages

File Size : 30,87 MB

Release : 2013-04-04

Category : Business & Economics

ISBN : 9781285193595

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Book Description

Prepare for career success with this trusted introduction to the world of health insurance billing and the dynamic, growing field of health information management. A GUIDE TO HEALTH INSURANCE BILLING, Fourth Edition, provides a thorough, practical overview of key principles and current practices, from patient registration to claims submission. Now updated to reflect the latest trends, technology, terminology, legal and regulatory guidelines, and coding systems—including ICD-10—the new edition also features a dynamic full-color layout. The text also includes abundant exercises, examples, case studies, and activities focused on real-world applications, including step-by-step procedures for generating, processing, and submitting health insurance claims to commercial, private, and government insurance programs. An access code for SimClaim interactive online billing software is also provided; this program puts billing skills to the test with case studies that require form completion. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.



Medical Billing 101

Author : Crystal Clack

Publisher : Cengage Learning

Page : 272 pages

File Size : 36,26 MB

Release : 2015-02-03

Category : Business & Economics

ISBN : 9781133936817

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Book Description

Learn the basics of physican-based medical billing with MEDICAL BILLING 101, 2E. Clear and practical guidelines introduce you to the job responsibilities and basic processes in the medical billing world. Case studies and software tools like SimClaimTM CMS-1500 software offer you practice on actual forms to build confidence and understanding of the reimbursement process. This easy-to-use guide starts you off on the right path as you begin your journey to becoming a medical billing professional. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.



Understanding Health Insurance: A Guide to Billing and Reimbursement

Author : Michelle Green

Publisher : Cengage Learning

Page : 832 pages

File Size : 36,76 MB

Release : 2016-01-01

Category : Business & Economics

ISBN : 9781305647428

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Book Description

Discover the essential learning tool to prepare for a career in medical insurance billing -- Green’s UNDERSTANDING HEALTH INSURANCE, 13E. This comprehensive, easy-to-understand book is fully updated with the latest code sets and guidelines. Readers cover today’s most important topics, such as managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. Updates throughout this edition present new legislation that impacts health care, including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; and concepts related to case mix management, hospital-acquired conditions, present on admission, and value-based purchasing. Practice exercises in each chapter provide plenty of review to reinforce understanding. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.