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Understanding Health Insurance : A Guide to Professional Billing
ISBN: 9780827384088 | 0827384084
Edition: 4thFormat: Paperback
Publisher: Cengage Learning
Pub. Date: 8/1/1997
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This complete worktext and practice software learning package highlights the concepts and procedures that medical assistants and medical claims specialists need to know to prepare and submit accurate health insurance claims.
Features/Benefits: the most current and accurate learning package available; free Practice Software (3.5" Windows) packaged with the text - Completely Revised - permits completion of computer-generated claim forms and reinforces learning; incorporates the latest regulations and practices for preparing and submitting health insurance claims; specific program templates ensure that all information necessary for claim processing is provided for each major insurance program discussed; and templates guide learners in preparing accurate claim forms: commercial carrier; Blue Cross/Blue Shield; Workers' Compensation; basic Medicare; Medicare and Medigap, Medicare and Medicaid, Medicare as a secondary payor; Medicaid; and CHAMPUS.
Features/Benefits: the most current and accurate learning package available; free Practice Software (3.5" Windows) packaged with the text - Completely Revised - permits completion of computer-generated claim forms and reinforces learning; incorporates the latest regulations and practices for preparing and submitting health insurance claims; specific program templates ensure that all information necessary for claim processing is provided for each major insurance program discussed; and templates guide learners in preparing accurate claim forms: commercial carrier; Blue Cross/Blue Shield; Workers' Compensation; basic Medicare; Medicare and Medigap, Medicare and Medicaid, Medicare as a secondary payor; Medicaid; and CHAMPUS.
| A Personal Note to Students | |
| Preface | |
| Acknowledgments | |
| Insurance Specialist - Roles and Responsibilities | p. 1 |
| Legal Considerations | p. 6 |
| Life Cycle of an Insurance Claim | p. 17 |
| Introduction to Health Insurance | p. 42 |
| Managed Health Care | p. 52 |
| Diagnostic Coding | p. 58 |
| Procedural Coding | p. 95 |
| ... MORE | p. 151 |
| Filing Commercial Claims | p. 165 |
| Blue Cross and Blue Shield Plans | p. 191 |
| Medicare | p. 210 |
| Medicaid | p. 243 |
| CHAMPUS/CHAMPVA/TRICARE | p. 259 |
| Workers' Compensation | p. 280 |
| Disability Compensation Programs | p. 297 |
| App. I: Disk Procedures | p. 307 |
| Clinic Billing Manual and Case Studies | p. 330 |
| App. III: Forms | p. 393 |
| App. IV: Answers To Coding Exercises | p. 399 |
| App. V: Bibliography | p. 409 |
| Glossary | p. 413 |
| Index | p. 437 |
| Table of Contents provided by Blackwell. All Rights Reserved. |
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