Understanding Health Insurance: A Guide to Billing and Reimbursement, 2024 Edition

Clear learning objectives at the beginning of each chapter allow students to self-assess comprehension of chapter content. In addition, boldfaced key terms appear throughout each chapter to help students master the technical vocabulary associated with billing, coding, reimbursement and claims processing. The text's proven learning design methodology clearly maps chapter content both to major topics to be covered and to well-defined learning objectives.

Clear instructions for completing CMS-1500 insurance claims reflect current requirements, including any recent changes. Updates to instructions appear throughout the textbook and SimClaim software is available on the accompanying MindTap Courseware. SimClaim offers multiple case studies that include present billing data and patient histories. Auto-graded features, like The Simulation, provide students with instant feedback.

The student companion website features the latest content on ICD-10-PCS coding and official guidelines, as well as a variety of application exercises to strengthen coding skills.

Review questions incorporate payment calculations to provide students hands-on practice in calculating insurance or Medicare payments, co-payments and coinsurance.