Understanding Health Insurance

A Guide to Billing and Reimbursement - 2020

Michelle Green (Autor)

Buch | Softcover

688 Seiten

2020 | 15th edition
Delmar Cengage Learning (Verlag)
978-0-357-37864-9 (ISBN)

Infos

Prepare for a successful career in medical billing and insurance processing or revenue management with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting presentation explains the latest medical code sets and coding guidelines as you learn how to complete health care 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; ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Helpful workbook exercises provide application-based assignments and case studies as well as CMRS, CPC-P, and CPB mock exams. In addition, MindTap digital learning tools offer hands-on practice.

Autor

Michelle Green has served in the capacity of full-time or adjunct faculty member as needed since 2017, and during Spring 2023 was named interim program director in the health information technology department at Mohawk Valley Community College in Utica, New York. She was the SUNY Distinguished Teaching Professor in the physical and life sciences department at the State University of New York College of Technology at Alfred for more than 30 years. She has authored three popular textbooks related to coding, revenue management and health information management. An active member of the AAPC and American Health Information Management Association, Green has been recognized for her excellence in teaching as well as her significant contributions to the health information management profession. Her numerous accolades include 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, AHIMA's FORE Triumph Educator Award and NYHIMA�s Educator Award. In addition, she is a Registered Health Information Administrator, a fellow of the American Health Information Management Association and a Certified Professional Coder. She earned an MPS from Alfred University and a Bachelor of Science from Daemen College.

Inhalt

1. Health Insurance Specialist Career.
2. Introduction to Health Insurance.
3. Managed Health Care.
4. Revenue Cycle Management.
5. Legal Aspects of Health Insurance and Reimbursement.
6. ICD-10-CM Coding.
7. CPT Coding.
8. HCPCS Level II Coding.
9. CMS Reimbursement Methodologies.
10. Coding Compliance, Clinical Documentation Improvement, and Coding for Medical Necessity.
11. CMS-1500 and UB-04 Claims.
12. Commercial Insurance.
13. BlueCross BlueShield.
14. Medicare.
15. Medicaid.
16. TRICARE.
17. Workers� Compensation.
Appendices.
Bibliography.
Glossary.
Index.

Produkt-Details

• Erscheinungsdatum: 03.01.2020
• Verlagsort: Clifton Park
• Sprache: englisch
• Maße: 217 x 277 mm
• Gewicht: 1565 g
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Pflege
• ISBN-10: 0-357-37864-4 / 0357378644
• ISBN-13: 978-0-357-37864-9 / 9780357378649
• Zustand: Neuware