9781418067069

With Understanding Health Insurance: A Guide to Billing and Reimbursement, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Exercises in each chapter give you plenty of practice to learn how to bill and reimburse. The accompanying workbook provides more application-based assignments for each chapter, content review, and additional case studies.

Health Insurance Specialist Career
Introduction to Health Insurance
Managed Health Care
Development of an Insurance Claim
Legal and Regulatory Issues
ICD-9-CM Coding
CPT Coding
HCPCS Coding
CMS Reimbursement Methodologies
Coding for Medical Necessity
Essential CMS-1500 Claim Instructions
Commercial Insurance
Blue Cross and Blue Shield Plans
Medicare
Medicaid
Tricare
Workers' Compensation
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Understanding Health Insurance

Understanding Health Insurance

1418067067

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Table of Contents

Supplemental Materials