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Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide you with the most essential and up to date knowledge on billing and reimbursement.
With Understanding Health Insurance, Tenth Edition, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. Exercises in each chapter provide plenty of practice for learning how to bill and reimburse, and the accompanying workbook provides more application based assignments for each chapter as well as additional case studies to reinforce your knowledge.
The text includes free software that allows you to test your knowledge.
Table of Contents
|Health Insurance Specialist Career|
|Introduction to Health Insurance|
|Managed Health Care|
|Processing of an Insurance Claim|
|Legal and Regulatory Issues|
|HCPCS Level II Coding|
|CMS Reimbursement Methodologies|
|Coding for Medical Necessity|
|Essential CMS-1500 Claim Instructions|
|Blue Cross Blue|
|Table of Contents provided by Publisher. All Rights Reserved.|