TY  - BOOK
AU  - Beik,Janet I.
AU  - Pepper Julie K.
TI  -  Health insurance today : : a practical approach
SN  - 9780323655538
AV  - HG9386.5.B45 2021 
PY  - 2021///
CY  - St. Louis, Missouri
PB  - Elsevier,  
KW  - Handbooks and manuals
KW  - Health insurance
KW  - Health insurance United States
KW  - Health insurance claims United States
N1  - Includes bibliographical references [p.484-485] and Index; Unit 1: Building a Foundation1. The Origins of Health Insurance 2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional3. The Legal and Ethical Side of Medical Insurance4. Types and Sources of Health InsuranceUnit 2: Health Insurance Basics5. Claim Submission Methods 6. Traditional Fee-for-Service/Private Plans7. Unraveling the Mysteries of Managed Care8. Understanding Medicaid9. Conquering Medicare's Challenges 10. Military Carriers11. Miscellaneous Carriers: Workers' Compensation and Disability InsuranceUnit 3: Cracking the Codes12. Diagnostic Coding 13. Procedural, Evaluation and Management, and HCPCS CodingUnit 4: The Claims Process14. The Patient15. Keys to Successful Claims ManagementUnit 5: Advanced Application16. The Role of Computers in Health Insurance17. Reimbursement Procedures: Getting Paid18. Hospital Billing and the UB-04Appendix A: Sample Blank CMS-1500 (02-12)Appendix B: CMS-1500 Claim Forms and Completion InstructionsAppendix C: UB-04 Claim Form and Completion InstructionsGlossary
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