Understanding Health Insurance

A Guide to Billing and Reimbursement - 2021 Edition

Michelle Green (Autor)

Buch | Softcover

704 Seiten

2021 | 16th edition
Delmar Cengage Learning (Verlag)
978-0-357-51558-7 (ISBN)

Infos

Develop the skills and background for a career in medical billing and insurance processing or revenue management with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2021 Edition. This complete resource explains the latest medical code sets and coding guidelines as you learn how to assign ICD-10-CM, CPT, and HCPCS level II codes; complete health care claims and master revenue management concepts. You focus 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 address changes to ICD-10-CM and CPT 2021 codes and introduce electronic claims processing, clinical quality language and other developments. A helpful workbook provides assignments; case studies and CPC-P and CPB mock exams, while MindTap online resources offer practice in CMS-1500 claims and assigning codes.

Autor

Michelle Green has been a SUNY Distinguished Teaching Professor in the health information technology department at Mohawk Valley Community College in Utica, New York, since 2017. She was the SUNY Distinguished Teaching Professor in the physical and life sciences department at the State University of New York College of Technology 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 American Academy of Professional Coders 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 and AHIMA's FORE Triumph 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: 15.01.2021
• Verlagsort: Clifton Park
• Sprache: englisch
• Maße: 229 x 275 mm
• Gewicht: 1474 g
• Themenwelt: Sonstiges ► Geschenkbücher
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Pflege
• ISBN-10: 0-357-51558-7 / 0357515587
• ISBN-13: 978-0-357-51558-7 / 9780357515587
• Zustand: Neuware