Understanding Health Insurance: A Guide to Billing and Reimbursement - 2021 Edition
By Michelle A. Green
About your course materials
Prepare students for successful careers in revenue management, medical billing or insurance processing with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2021 Edition. Updated every year, this reader-friendly presentation incorporates the latest developments in healthcare insurance and medical billing as well as any changes to medical code sets and guidelines. Students study managed care, legal and regulatory issues, coding systems and compliance, reimbursement, clinical documentation improvement, coding for medical necessity and common health insurance plans. Updates address changes to ICD-10-CM and CPT 2021 codes and introduce new information on electronic claims processing, clinical quality language and CMS's Targeted Probe and Educate (TPE) program. An accompanying workbook provides application-based assignments and case studies, while MindTap online resources include software for SimClaim CMS-1500 claims completion.
Related study tools
Workbook for Understanding Health Insurance: A Guide to Billing and Reimbursement: 2021
The student workbook is design to help you retain key chapter content. Included within this resource are chapter objective questions; key-term definition queries; and multiple choice, fill-in-the-bla…
MindTap for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement - 2021 Edition, 2 terms Printed Access Card
MindTap for Green's, Understanding Health Insurance: A Guide to Billing and Reimbursement, 2021 Edition is a complete digital learning solution that powers students from memorization to mastery. It g…
MindTap for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement - 2021 Edition, 2 terms Instant Access
MindTap for Green's, Understanding Health Insurance: A Guide to Billing and Reimbursement, 2021 Edition is a complete digital learning solution that powers students from memorization to mastery. It g…
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About this product
Prepare students for successful careers in revenue management, medical billing or insurance processing with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2021 Edition. Updated every year, this reader-friendly presentation incorporates the latest developments in healthcare insurance and medical billing as well as any changes to medical code sets and guidelines. Students study managed care, legal and regulatory issues, coding systems and compliance, reimbursement, clinical documentation improvement, coding for medical necessity and common health insurance plans. Updates address changes to ICD-10-CM and CPT 2021 codes and introduce new information on electronic claims processing, clinical quality language and CMS's Targeted Probe and Educate (TPE) program. An accompanying workbook provides application-based assignments and case studies, while MindTap online resources include software for SimClaim CMS-1500 claims completion.
LEARNING DESIGN METHODOLOGY WITH CLEAR OBJECTIVES GUIDES READER UNDERSTANDING. This edition's learning design methodology clearly maps chapter content to both major topics and well-defined learning objectives to keep students focused and progressing.
UPDATED CONTENT ADDRESSES THE LATEST DEVELOPMENTS IN THE FIELD TODAY. Revised chapter content throughout this edition highlights the latest updates in revenue management, reimbursement methods, health insurance processing and medical coding.
ONLINE TOOLS ASSIST IN MASTERY OF ICD-10-PCS CODING AND GUIDELINES. Content about ICD-10-PCS coding and official guidelines are located at the student online companion website with a variety of application exercises to strengthen coding skills. Answer keys are conveniently located on the password-protected instructor's companion website.
UPDATED INSTRUCTIONS INCORPORATE THE LATEST CHANGES IN COMPLETING TODAY'S INSURANCE CLAIMS. Clear instructions for completing CMS-1500 insurance claims reflect the today's requirements and the latest changes. All updates to instructions continue throughout the printed book and SimClaim software as well as the answer keys in the instructor’s manual.
Table of contents
Chapters
Chapter 1. Health Insurance Specialist CareerPreview this chapter
Resources
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