Higher Education

A Guide to Health Insurance Billing, 3rd Edition

  • Marie A. Moisio, MA, RHIA Northern Michigan University (Emerita)
  • ISBN-10: 1435492986  |  ISBN-13: 9781435492981
  • 576 Pages
  • Previous Editions: 2006, 2001
  • © 2011 | Published
  • College Bookstore Wholesale Price = $163.75
  • Newer Edition Available
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Begin a career in the world of health insurance billing with A Guide to Health Insurance Billing, Third Edition. This resource introduces learners to medical billing, covering everything from patient registration to claims submission. Students will become familiar with appropriate terminology, understand legal and regulatory guidelines, and develop an understanding of coding systems. The Superiorland Clinic practical simulation in Appendix A puts students' skills to the test with 20 case studies that require forms completion.

Additional Product Information

Features and Benefits

  • Separate chapters that cover coding concepts, with Coding Challenge exercises including Procedure Reports, and a chapter on ICD-10-CM.
  • Step-by-step completion guidelines for the CMS-1500 and UB-04 billing forms.
  • Separate chapters on Electronic Data Interchange (EDI) and insurance payors.
  • Appendix A features 20 case studies that require creation of insurance claims.
  • Instructor resources include test bank, PowerPoint, and Instructor's Manual.

Table of Contents

1. The Insurance Billing Specialist.
2. Legal Aspects of Insurance Billing.
3. Introduction to Health Insurance.
4. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM).
5. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).
6. Current Procedural Terminology (CPT) and Healthcare Common Procedure.
7. Developing An Insurance Claim.
8. Common CMS-1500 Completion Guidelines.
9. Common UB-92 (HCFA-1450) Completion Guidelines.
10. Electronic Data Interchange (EDI).
11. Blue Cross/Blue Shield.
12. Medicare.
13. Medicaid.
15. Workers Compensation.
Appendix A: Superiorland Clinic Practice Manual.
Assignments: Case Study 2-1 Through Case Study 2-10.
Appendix B.

What's New

  • Fully updated to the most current guidelines, billing forms, and codes.
  • Features SimClaim student practice software for the CMS-1500 billing form.
  • Includes 30-day free trial of EncoderPro.

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  • Book Only

    ISBN-10: 1111320675 | ISBN-13: 9781111320676

    List Price = $213.95  | College Bookstore Wholesale Price = $160.50

Meet the Author

Author Bio

Marie A. Moisio, MA, RHIA

Marie A. Moisio, M.A., RHIA, has 25 years of experience in health information management. In addition to teaching medical billing, medical coding and health information processing for more than 15 years, she served as director of health information departments in a 400-bed regional medical center and a 450-bed regional psychiatric treatment facility. Her professional experience also includes service as a consultant for several long-term care facilities and physician offices as well as positions in health information management, compliance, coding practices, insurance claim auditing and patient record documentation. Moisio has taught numerous workshops covering legal aspects of health information management and documentation. She is also the author of A GUIDE TO HEALTH INSURANCE BILLING and UNDERSTANDING LABORATORY & DIAGNOSTIC TESTS.