Health Insurance Quick Read Booklet

This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding.A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process.Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care.Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations.Sidebars and Examples highlight key concepts and information related to the core text lesson.A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry.Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities.Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.

Are you a medical biller, coder, patient registrar, or involved in medical registration? Discover the essential guide to mastering the healthcare facility revenue cycle! This comprehensive booklet delves deep into the Real-Time Eligibility (RTE) verification system, offering insights on its integration with Electronic Health Record systems. With detailed coverage of various insurance types including Medicare, Medicaid, HMO, PPO, and many more, it provides the knowledge you need to navigate the complex world of medical insurance. Imagine being able to accurately verify insurance, understand the nuances of different insurance plans, and efficiently determine primary and secondary payers in dual coverage situations. This guide equips you with the tools and knowledge to enhance your efficiency, accuracy, and patient satisfaction, ultimately improving your facility's financial health. Don't miss out on this opportunity to enhance your expertise and streamline your operations. Get your hands on the "Medical Insurance Quick Read Booklet" today and take your first step towards mastering the intricacies of medical insurance in healthcare facilities!

Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve access to health services, as well to provide financial risk protection.

Described in the New York Times as “an astonishingly clear ‘user’s manual’ that explains our health care system and the policies that will change it,” The Health Care Handbook, by Drs. Elisabeth Askin and Nathan Moore, offers a practical, neutral, and readable overview of the U.S. health care system in a compact, convenient format. The fully revised third edition provides concise coverage on health care delivery, insurance and economics, policy, and reform—all critical components of the system in which health care professionals work. Written in a conversational and accessible tone, this popular, highly regarded handbook serves as a “one stop shop” for essential facts, systems, concepts, and analysis of the U.S. health care system, providing the tools you need to confidently evaluate current health care policy and controversies.

The ABA Complete and Easy Guide to Health Care Law is a comprehensive guide to understanding your rights as a patient and knowing how to move through the health care system. This guide allows you to understand issues about health care to the fullest. Among the issues covered are: Patients’ Rights: Confidentiality, Privacy, and the Patient’s Bill of Rights; Emergency Care; Informed Consent Paying for Medical Care: Insurance and Managed Care; COBRA Reproduction: Assisted Reproductive Technology; Wrongful Birth and Wrongful Pregnancy; Sterilization; Abortion People with Disabilities: Pregnancy; Confidentiality and Disclosure; Vaccinations; Mandatory Testing; Denoting Tort Liability; Quarantine Nursing Homes: Choosing a Nursing Home; Paying for Long-Term Care; Medicaid Planning; Alternative Care and Living Regulating Medical Professionals: Licensing of Doctors, Nurses, and Hospitals; Medical Malpractice; Research on Humans Death and Dying: Right to Refuse Life-Sustaining Treatment; Hospices; Donating Your Organs; Assisted Suicid

Ok, so you've finally graduated, secured your first job in the medical field of your choosing and very quickly you discover that health insurance is this maze of confusing acronyms, unpredictable reimbursement, and never-ending plan designs with too many rules and regulations to keep track of. 1500pays: A Health Insurance Guide provides the easy to understand, comprehensive yet concise, information that you need to know about health insurance plans, processes, and procedures without all of the fluff. * Trying to figure out your PPO from an HMO? - It's in the book!* Do you really need to care if a plan is self-funded or fully insured? - It's in the book!* What is a TPA? - It's in the book!* How do I read an EOB? - It's in the book!* Deductible, copays and coinsurance? - It's in the book!All of the health insurance information you need in one place, with the chapter tests and case studies designed to test your overall knowledge and understanding. Please visit our website at www.1500pays.com for continuing updates.

Described in the New York Times as "an astonishingly clear 'user's manual' that explains our health care system and the policies that will change it," The Health Care Handbook, by Drs. Elisabeth Askin and Nathan Moore, offers a practical, neutral, and readable overview of the U.S. health care system in a compact, convenient format. The fully revised third edition provides concise coverage on health care delivery, insurance and economics, policy, and reform--all critical components of the system in which health care professionals work. Written in a conversational and accessible tone, this popular, highly regarded handbook serves as a "one stop shop" for essential facts, systems, concepts, and analysis of the U.S. health care system, providing the tools you need to confidently evaluate current health care policy and controversies. Provides essential introductory coverage while also offering depth and focus gained through the authors' experience over three editions of this best-selling handbook Features new, realistic narratives throughout that provide a more human focus on the effects of today's policies and issues Contains a new chapter that synthesizes multifaceted issues such as breast cancer screening guidelines, readmissions and value, and the rising cost of insulin Includes more data visualization such as maps and infographics for quick comprehension of complex information Offers multiple viewpoints and suggested readings so readers can develop their own opinions on key topics Used as a curricular resource in more than 150 training programs nationwide, including schools of medicine, nursing, physician assistant, pharmacy, physical therapy, occupational therapy, business, sociology, pre-medical, health administration, health law, and health policy; also used for employee training in a variety of organizations within the pharmaceutical, medical device, health care system, health insurance, and health IT fields Features supplemental digital content for instructors, ideal for classroom use Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Popular progressive radio host and New York Times bestselling author Thom Hartmann reveals how and why attempts to implement affordable universal healthcare in the United States have been thwarted and what we can do to finally make it a reality. "For-profit health insurance is the largest con job ever perpetrated on the American people—one that has cost trillions of dollars and millions of lives since the 1940s,” says Thom Hartmann. Other countries have shown us that affordable universal healthcare is not only possible but also effective and efficient. Taiwan's single-payer system saved the country a fortune as well as saving lives during the coronavirus pandemic, enabling the country to implement a nationwide coronavirus test-and-contact-trace program without shutting down the economy. This resulted in just ten deaths, while more than 500,000 people have died in the United States. Hartmann offers a deep dive into the shameful history of American healthcare, showing how greed, racism, and oligarchic corruption led to the current “sickness for profit” system. Modern attempts to create versions of government healthcare have been hobbled at every turn, including Obamacare. There is a simple solution: Medicare for all. Hartmann outlines the extraordinary benefits this system would provide the American people and economy and the steps we need to take to make it a reality. It's time for America to join every industrialized country in the world and make health a right, not a privilege.