Understanding Health Insurance: A Guide to Billing and Reimbursement


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.













Understanding Health Insurance: A Guide to Billing and Reimbursement


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.




Software by Numbers


Book Description

- Opens the black box of methodologies and demonstrates that software development is fundamentally a value creation process - Covers new and radical approaches to software development that respond to business demands for shorter investment periods and increased agility - Provides software engineers tools for understanding enterprise-level value creation and managing financial objectives




Bankruptcy Deadline Checklist


Book Description

The Third Edition of the Bankruptcy Deadline Checklist is a very practical tool intended to be a quick reference guide to assist bankruptcy judges, attorneys, paralegals, credit managers, collection agents, professors, law students and others participating in bankruptcy cases or study. The Checklist is organized by chapter of the Bankruptcy Code (i.e. 1, 3, 5, 7, 11, 13 and 15), and, within each chapter by Code section, with additional sections covering those items typically needed upon the filing of a case, rules on adversary proceedings, appeals, and notices. This checklist is meant to be a list of all of the potential deadlines in a case.