Health insurance today : a practical approach/ Janet I. Beik, and Julie Pepper

Includes bibliographical references and Index

CONTENTS
Unit 1: Building a Foundation-- 1.The Origins of Health Insurance-- 2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional-- 3. The Legal and Ethical Side of Medical Insurance--4. Types and Sources of Health Insurance--Unit 2: Health Insurance Basics--5.Claim Submission Methods-- 6. Traditional Fee-for-Service/Private Plans--7. Unraveling the Mysteries of Managed Care--8. Understanding Medicaid--9. Conquering Medicare's Challenges-- 10. Military Carriers--11. Miscellaneous Carriers: Workers' Compensation and Disability Insurance--Unit 3:Cracking the Codes--12. Diagnostic Coding --13. Procedural, Evaluation and Management, and HCPCS Coding--Unit 4: The Claims Process--14.The Patient--15. Keys to Successful Claims Management--Unit 5: Advanced Application--16. The Role of Computers in Health Insurance--17. Reimbursement Procedures: Getting Paid--18. Hospital Billing and the UB-04--Appendix A: Sample Blank CMS-1500 (02-12)--Appendix B: CMS-1500 Claim Forms and Completion Instructions--Appendix C: UB-04 Claim Form and Completion Instructions--GlossaryTENTS.