A Guide To Health Insurance Billing

Prepare for career success with this trusted introduction to the world of health insurance billing and the dynamic, growing field of health information management. A GUIDE TO HEALTH INSURANCE BILLING, Fourth Edition, provides a thorough, practical overview of key principles and current practices, from patient registration to claims submission. Now updated to reflect the latest trends, technology, terminology, legal and regulatory guidelines, and coding systems—including ICD-10—the new edition also features a dynamic full-color layout. The text also includes abundant exercises, examples, case studies, and activities focused on real-world applications, including step-by-step procedures for generating, processing, and submitting health insurance claims to commercial, private, and government insurance programs. An access code for SimClaim interactive online billing software is also provided; this program puts billing skills to the test with case studies that require form completion. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.

"A Guide to Health Insurance Billing" takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material. An introduction to the new coding systems, ICD-10. ICD-9-CM and CPT coding systems are explained using the most current information Health insurance simulation and coding exercises put users in a realistic insurance billing environment Managed care and its impact on health insurance billing is covered in a special chapter Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission (KEYWORDS: insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance).

Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.

Begin your career in the world of health insurance billing with A Guide to Health Insurance Billing, Third Edition. This resource introduces you to medical billing, covering everything from patient registration to claims submission. Become familiar with appropriate terminology, understand legal and regulatory guidelines, and develop an understanding of coding systems. Finally, put your skills to the test with the Superiorland Clinic practical simulation in Appendix A with 20 case studies that require forms completion.

A comprehensive guide to health insurance claim processing that contains pertinent information on common health insurance plans, and coding systems, reimbursement issues, and step-by-step instructions for HCFA-1500 claim completion. CD-ROM in text and accompanying workbook provide additional opportunities to apply material and practice in completing HCFA-1500 forms. Contains new information regarding ICD-10-CM and HCFA reimbursement issues.(key words: health care insurance, HCFA-1500, Insurance claim form)