TY - BOOK AU - Beik,Janet I. TI - Health insurance today: a practical approach SN - 1416000542 PY - 2007/// CY - St. Louis PB - Saunders / Elsevier KW - Health insurance claims KW - United States KW - Health insurance KW - Health, insurance KW - Forms and Records Control KW - methods KW - Gezondheidszorg KW - gtt KW - Ziektekostenverzekering N1 - 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 ER -