Reseña del editor:
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.
Reseña del editor:
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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