Understanding Health Insurance : A Guide to Billing and Reimbursement

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  • Edition: 10th
  • Format: Paperback
  • Copyright: 2010-01-22
  • Publisher: Cengage Learning
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  • The Used and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.


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
ICD-9-CM Coding
CPT Coding
HCPCS Level II Coding
CMS Reimbursement Methodologies
Coding for Medical Necessity
Essential CMS-1500 Claim Instructions
Commercial Insurance
Blue Cross Blue
Workers' Compensation
Table of Contents provided by Publisher. All Rights Reserved.

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Customer Reviews

Helpful resource July 27, 2011
This textbook is fantastic and provides up-to-date information on the health insurance industry. It is great for learners and old timers too. Gives a very broad spectrum of the health industry and easy to comprehend. I recommend this textbook to anyone as a teaching/learning tool. I got the textbook quickly and in the exact condition as stated online.
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Understanding Health Insurance : A Guide to Billing and Reimbursement: 5 out of 5 stars based on 1 user reviews.

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