Synopses & Reviews
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. 7 An introduction to the new coding systems, ICD-10. 7 ICD-9-CM and CPT coding systems are explained using the most current information 7 Health insurance simulation and coding exercises put users in a realistic insurance billing environment 7 Managed care and its impact on health insurance billing is covered in a special chapter 7 Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding 7 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)
Synopsis
A Practical Guide to Health Insurance Billing takes a straight forward, user friendly approach to learning insurance and coding. The combination text and workbook uses a step-by-step, case based method to simulate on the job experience. This simulation technique is reinforced through the practice software provided with the book. Learners are provided with exercises and insurance forms that mimic realistic office activities and allow the learner to become familiar with the computerized aspect of billing.
-- Combination text and workbook
-- Simulation of real life experience through the use of case studies and software
-- Strong use of visual reinforcement to retain the learners attention
-- Writing style and presentation aimed at the entry level student and practitioner
Synopsis
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)
Synopsis
A Guide to Health Insurance Billing, Second Edition is an introduction to medical billing, covering everything from patient registration to claims submission, with an emphasis on HIPAA issues. This valuable resource includes introductory concepts, examples, and application exercises designed to show you the basics of insurance billing. You will become familiar with health insurance terminology, understand the legal implications of insurance billing, develop a basic understanding of medical coding systems, and accurately complete insurance claim forms.
Description
System requirements: Microsoft Windows 95 or better. 486 Mhz CPU (Pentium recommended). 16 MB or more of RAM. Double-spin CD-ROM drive. 10 MB or more free hard drive space. 256 color display or better.
About the Author
Associate Professor, Northern Michigan University (Retired in 2003) Bio: With over 25 years experience in health information management, Marie A. Moisio, MA, RHIA was Associate Professor, Northern Michigan University (Retired in 2003). 15 years teaching experience medical billing; medical coding; health information processing. Moisio work includes Director, Health Information Department(s): 400-bed regional medical center; 450-bed regional psychiatric treatment facility. She was consultant for several long-term care facilities and physicians? offices; health information management; compliance; coding practices; auditing insurance claims and documentation in the patients? records. She has offered several workshops about the legal aspects of health information management and documentation. Moisio has written Medical Terminology for Insurance and Coding and Co-Authored Medical Terminology: A Student Centered Approach; Understanding Laboratory and Diagnostic Tests.
Table of Contents
Chapter 1 The Insurance Billing Specialist Chapter 2 Legal Aspects of Insurance Billing Chapter 3 Introduction to Health Insurance Chapter 4 International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Chapter 5 International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) Chapter 6 Current Procedural Terminology (CPT) and Healthcare Common Procedure Chapter 7 Developing An Insurance Claim Chapter 8 Common CMS-1500 Completion Guidelines Chapter 9 Common UB-92 (HCFA-1450) Completion Guidelines Chapter 10 Electronic Data Interchange (EDI) Chapter 11 Blue Cross/Blue Shield Chapter 12 Medicare Chapter 13 Medicaid Chapter 14 TRICARE and CHAMPVA Chapter 15 Workers Compensation Appendix A Superiorland Clinic Practice Manual Assignments: Case Study 2-1 Through Case Study 2-10 Appendix B References Glossary Index