Beik's Health Insurance Today

Authors:

Julie Pepper

Brand: Elsevier

ISBN: 9780323884006

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Description

Master the complexities of health insurance with this easy-to-understand guide! Beiks Health Insurance Today, 8th Edition provides a solid foundation in basics such as the types and sources of health insurance, the submission of claims, and the ethical and legal issues surrounding insurance. It follows the claims process from billing and coding to reimbursement procedures, with realistic practice on the Evolve companion website. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and cost/value calculators. Making difficult concepts seem anything but, this resource prepares you for a successful career as a health insurance professional.

Product Details

Brand Elsevier

Reference 98463

EAN13 9780323884006

ISBN 9780323884006

Data sheet

Publication date: 2023
Issue number: 8
Cover: paperback
Pages count: 504
Weight (g): 1090

UNIT I BUILDING A FOUNDATION
1 The Origins of Health Insurance
2 Tools of the Trade: A Career as a Health Insurance Professional
3 The Legal and Ethical Side of Health Insurance
4 Healthcare Reform: Coverage Types and Sources
5 The Patient and the Billing Process
UNIT II HEALTH INSURANCE BASICS
6 Reimbursement Models
7 Understanding Managed Care
8 Understanding Medicare
9 Understanding Medicaid
10 Understanding Military Carriers
11 Understanding Miscellaneous Carriers: Workers Compensation and Disability Insurance
UNIT III CLAIMS SUBMISSION
12 Claim Submission Methods
13 Diagnostic Coding
14 Procedural, Evaluation and Management, and HCPCS Coding
15 Claims Management
UNIT IV ADVANCED APPLICATION
16 The Role of Computers in Health Insurance
17 Reimbursement Procedures: Getting Paid
18 Hospital Billing and the UB-04
Appendix A: Sample Blank CMS-1500 (02/12)
Appendix B: CMS-1500 Claim Forms and Completion Instructions
Appendix C: UB-04 Claim Forms and Completion Instructions
Glossary
Index