Una guía para la facturación del seguro médico es un texto de nivel de entrada diseñado para guiar a los estudiantes a través del proceso de facturación del seguro médico. Cubre todos los aspectos del proceso de facturación, desde términos clave hasta procedimientos y regulaciones estatales y federales. Los capítulos separados examinan las pautas para presentar reclamos de seguro con varios programas de seguro médico comerciales y de compensación laboral, así como las pautas y los procedimientos comunes de finalización para el HCFA-1500, un formulario de seguro médico universal. Tanto los sistemas de codificación ICD-9-CM como CPT se explican y van acompañados de ejercicios de revisión que brindan a los estudiantes varias oportunidades de codificar a partir de la información real del paciente. La atención administrada y su impacto en la facturación del seguro médico y el Intercambio Electrónico de Datos, un método de uso frecuente para presentar reclamaciones, están cubiertos en capítulos especializados. El tono conversacional y la manera directa de A Guide to Health Insurance Billing mantienen el material que se considera en gran medida "seco" atractivo e interesante para el estudiante.
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A Guide to Health Insurance Billing is an entry-level text designed to guide students through the health insurance billing process. It covers all aspects of the billing process, from key terms to procedures to state and federal regulations. Separate chapters examine the guidelines for filing insurance claims with various commercial and Workers' Compensation health insurance programs, as well as the guidelines and common completion procedures for the HCFA-1500, a universal health insurance form. Both ICD-9-CM and CPT coding systems are explained and are accompanied by review exercises that give students several opportunities to code from actual patient information. Managed care and its impact on health insurance billing and the Electronic Data Interchange, a frequently used method for submitting claims, are covered in specialty chapters. The conversational tone and straightforward manner of A Guide to Health Insurance Billing keeps material that is largely considered "dry" engaging and interesting to the student.
A Guide to Health Insurance Billing takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material. An introduction to the new coding systems, ICD-10. ICD-9-CM and CPT coding systems are explained using the most current information Health insurance simulation and coding exercises put users in a realistic insurance billing environment Managed care and its impact on health insurance billing is covered in a special chapter Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission (KEYWORDS: insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance)
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