Understanding Health Insurance: A Guide to Billing and Reimbursement - Tapa blanda

Updated with the latest code sets, guidelines, and claim forms, UNDERSTANDING HEALTH INSURANCE, Eleventh Edition provides readers with most current information on health insurance billing and reimbursement available on the market. Comprehensive and easy to understand, this book covers important topics in the field including managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. The eleventh edition has been updated to include relevant topics such as new legislation that affects health care, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and release of information. With exercises in each chapter, an accompanying workbook, and access to free software programs, readers will have multiple opportunities to test their knowledge and apply what they've learned.

Michelle A. Green, MPS, RHIA, FAHIMA, CPC, is an Adjunct Professor in the Health Information Technology Department at Mohawk Valley Community College, Utica, New York. She also teaches in the Health Information Management Department at Mount Wachusett Community College, Gardner, Massachusetts. Ms. Green held the position of SUNY Distinguished Teaching Professor in the Physical and Life Sciences Department at the State University of New York, College of Technology, Alfred, from 1984 through 2016. An active member of the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA), Ms. Green has been recognized both for her excellence in teaching and for her significant contributions to the Health Information Management profession. She has earned numerous awards, including the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers, and the FORE Triumph Educator Award from the AHIMA. Ms. Green is a Registered Health Information Administrator (RHIA), a Fellow of the American Health Information Management Association (FAHIMA), and a Certified Procedural Coder (CPC). She earned a BS from Daemen College and an MPS degree from Alfred University. Ms. Green has authored three successful books related to coding and health information management.