Health insurance today : a practical approach /
Beik, Janet I.
Health insurance today : a practical approach / Janet I. Beik. - St. Louis : Saunders / Elsevier, 2007. - xxv, 472 p. : ill. ; 28 cm.
Includes bibliographical references and index.
Contents
Unit 1: Building a Foundation
1. The Origins of Health Insurance
2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional
3. The Legal and Ethical Side of Medical Insurance
4. Types and Sources of Health Insurance
Unit 2: Health Insurance Basics
5. Claim Submission Methods
6. Traditional Fee-for-Service/Private Plans
7. Unraveling the Mysteries of Managed Care
8. Understanding Medicaid
9. Conquering Medicare's Challenges
10. Military Carriers
11. Miscellaneous Carriers: Workers' Compensation and Disability Insurance
Unit 3: Cracking the Codes
12. Diagnostic Coding
13. Procedural, Evaluation and Management, and HCPCS Coding
Unit 4: The Claims Process
14. The Patient
15. Keys to Successful Claims Management
Unit 5: Advanced Application
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures: Getting Paid
18. Hospital Billing and the UB-04
1416000542 9781416000549
2007270955
101295695
Health insurance claims--United States.
Health insurance--United States.
Health, insurance.
Forms and Records Control--methods.
Gezondheidszorg.
Ziektekostenverzekering.
W 18.2 B422h 2007
Health insurance today : a practical approach / Janet I. Beik. - St. Louis : Saunders / Elsevier, 2007. - xxv, 472 p. : ill. ; 28 cm.
Includes bibliographical references and index.
Contents
Unit 1: Building a Foundation
1. The Origins of Health Insurance
2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional
3. The Legal and Ethical Side of Medical Insurance
4. Types and Sources of Health Insurance
Unit 2: Health Insurance Basics
5. Claim Submission Methods
6. Traditional Fee-for-Service/Private Plans
7. Unraveling the Mysteries of Managed Care
8. Understanding Medicaid
9. Conquering Medicare's Challenges
10. Military Carriers
11. Miscellaneous Carriers: Workers' Compensation and Disability Insurance
Unit 3: Cracking the Codes
12. Diagnostic Coding
13. Procedural, Evaluation and Management, and HCPCS Coding
Unit 4: The Claims Process
14. The Patient
15. Keys to Successful Claims Management
Unit 5: Advanced Application
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures: Getting Paid
18. Hospital Billing and the UB-04
1416000542 9781416000549
2007270955
101295695
Health insurance claims--United States.
Health insurance--United States.
Health, insurance.
Forms and Records Control--methods.
Gezondheidszorg.
Ziektekostenverzekering.
W 18.2 B422h 2007