Give students the essential learning tool to prepare for a successful career in medical insurance billing with UNDERSTANDING HEALTH INSURANCE, 13E. This comprehensive, easy-to-understand, updated text presents the latest code sets and guidelines. Students examine important topics, such as managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. Updates address new legislation that impacts health care, including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; case mix management; hospital-acquired conditions; present on admission; and value-based purchasing. Practice exercises and the workbook (available separately) provide extensive review, application-based assignments, case studies and CMRS, CPC-P, and CPB Mock Exams. New editions also include online access to SimClaim™ CMS-1500 claims completion software and Optum’s EncoderPro.com Expert™.
