Understanding Health Insurance: A Guide to Billing and Reimbursement – 2022 Edition: 2022 Edition PDF Free Download [Direct Link]

Understanding Health Insurance A Guide to Billing and Reimbursement PDF

In this article, we are sharing with our audience the genuine PDF download of Understanding Health Insurance PDF using direct links which can be found at the end of this blog post. To ensure user safety and faster downloads, we have uploaded this .pdf file to our online cloud repository so that you can enjoy a hassle-free downloading experience.

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So, we understand that you are interested in learning more about health insurance. It is a highly read topic especially medical insurance and life insurance. You have come to right place as in this blog post, we are going to share with you very helpful study material for the said topic. Here’s the complete overview of Understanding Health Insurance PDF:

Strengthen your skills and develop a solid foundation in medical insurance processing and revenue management with Green’s UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2022 Edition. This reader-friendly, comprehensive resource explains the latest developments and medical code sets and coding guidelines as you learn how to assign ICD-10-CM, CPT 2022 codes and HCPCS level II codes, complete health care claims and master revenue management concepts. You focus on important topics such as the latest managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity and common health insurance plans. New material introduces electronic claims, performance measurement and processing clinical quality language. A helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer practice in CMS-1500 claims completion and assigning codes.

Features of Understanding Health Insurance: A Guide to Billing and Reimbursement – 2022 Edition

Here’s a quick overview of the essential features of this book:

  • Detailed information on complete healthcare insurance claims

Table of Contents

Below is the complete table of contents offered inside Understanding Health Insurance: A Guide to Billing and Reimbursement – 2022 Edition:

  1. Table of Contents
  2. Preface
  3. About the Author
  4. Reviewers
  5. Acknowledgments
  6. How to Use This Text
  7. SimClaim CMS-1500 Software User Guide
  8. Chapter 1: Health Insurance Specialist Career
  9. Health Insurance Overview
  10. Career Opportunities
  11. Education and Training
  12. Job Responsibilities
  13. Independent Contractor and Employer Liability
  14. Professionalism
  15. Telephone Skills for the Health Care Setting
  16. Professional Associations and Credentials
  17. Chapter 2: Introduction to Health Insurance and Managed Care
  18. Overview of Health Insurance and Managed Care
  19. Major Developments in Health Insurance and Managed Care
  20. Managed Care
  21. Characteristics of Health Plans and Managed Care
  22. Consumer-Directed Health Plans
  23. Health Care Documentation
  24. Electronic Health Record (EHR)
  25. Chapter 3: Introduction to Revenue Management
  26. Revenue Management
  27. Managing Patients
  28. Encounter Form and Chargemaster
  29. Processing an Insurance Claim
  30. Posting Charges to Patient Accounts
  31. Monitoring and Auditing for Revenue Management
  32. Chapter 4: Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collectio
  33. Insurance Claim Cycle
  34. Maintaining Insurance Claim Files
  35. Denied Claims and the Appeals Process
  36. Credit and Collections
  37. Chapter 5: Legal Aspects of Health Insurance and Reimbursement
  38. Overview of Laws and Regulations
  39. Federal Laws and Events That Affect Health Care
  40. Retention of Records
  41. Health Care Audit and Compliance Programs
  42. Health Insurance Portability and Accountability Act (HIPAA)
  43. Chapter 6: ICD-10-CM Coding
  44. General Equivalence Mappings
  45. Overview of ICD-10-CM and ICD-10-PCS
  46. ICD-10-CM Coding Conventions
  47. ICD-10-CM Index and Tabular List
  48. Official Guidelines for Coding and Reporting
  49. Chapter 7: CPT Coding
  50. Organization of CPT
  51. CPT Index
  52. CPT Modifiers
  53. Evaluation and Management Section
  54. Anesthesia Section
  55. Surgery Section
  56. Radiology Section
  57. Pathology and Laboratory Section
  58. Medicine Section
  59. CPT Category II and Category III Codes
  60. Chapter 8: HCPCS Level II Coding
  61. Purpose of HCPCS Level II Codes
  62. Organization of HCPCS Level II Codes
  63. Documentation and Submission Requirements for Reporting HCPCS Level II Codes
  64. Assigning HCPCS Level II Codes and Modifiers
  65. Chapter 9: CMS Reimbursement Methodologies
  66. CMS Reimbursement
  67. CMS Fee Schedules
  68. CMS Payment Systems
  69. Chapter 10: Coding Compliance Programs, Clinical Documentation Improvement, and Coding for Medical N
  70. Coding Compliance Programs
  71. Clinical Documentation Improvement
  72. Coding for Medical Necessity
  73. Coding from Case Scenarios and Patient Records
  74. Chapter 11: CMS-1500 and UB-04 Claims
  75. General Claims Information
  76. CMS-1500 Data Entry
  77. Processing Secondary CMS-1500 Claims
  78. Common Errors That Delay CMS-1500 Claims Processing
  79. Final Steps in Processing CMS-1500 Claims
  80. Maintaining CMS-1500 Insurance Claim Files for the Medical Practice
  81. UB-04 Claim
  82. Chapter 12: Commercial Insurance
  83. Commercial Health Insurance
  84. Automobile, Disability, and Liability Insurance
  85. Commercial Claims Instructions
  86. Commercial Secondary Coverage Claims Instructions
  87. Commercial Group Health Plan Coverage Claims Instructions
  88. Chapter 13: BlueCross BlueShield
  89. BlueCross BlueShield
  90. BlueCross BlueShield Plans
  91. BlueCross BlueShield Billing Notes
  92. BlueCross BlueShield Claims Instructions
  93. BlueCross BlueShield Secondary Coverage Claims Instructions
  94. Chapter 14: Medicare
  95. Medicare Eligibility and Enrollment
  96. Medicare Coverage
  97. Medicare Participating, Nonparticipating, and Opt-Out Providers
  98. Advance Beneficiary Notice of Noncoverage
  99. Medicare as Primary and Secondary Payer
  100. Medicare Summary Notice
  101. Medicare Billing Notes
  102. Medicare Claims Instructions
  103. Medicare and Medigap Claims Instructions
  104. Medicare-Medicaid (Medi-Medi) Crossover Claims Instructions
  105. Medicare as Secondary Payer Claims Instructions
  106. Medicare Roster Billing for Mass Vaccination Programs Claims Instructions
  107. Chapter 15: Medicaid
  108. Medicaid Eligibility
  109. Medicaid Coverage
  110. Medicaid Reimbursement
  111. Medicaid Billing Notes
  112. Medicaid Claims Instructions
  113. Medicaid as Secondary Payer Claims Instructions
  114. Medicaid Parent/Newborn Claims Instructions
  115. CHIP Claims Instructions
  116. Chapter 16: TRICARE
  117. TRICARE History
  118. TRICARE Administration
  119. CHAMPVA
  120. TRICARE Coverage
  121. TRICARE Billing Notes
  122. TRICARE Claims Instructions
  123. TRICARE as Secondary Payer Claims Instructions
  124. TRICARE and Supplemental Coverage Claims Instructions
  125. Chapter 17: Workers’ Compensation
  126. Federal and State Workers’ Compensation Programs
  127. Eligibility for Workers’ Compensation Coverage
  128. Classification and Billing of Workers’ Compensation Cases
  129. Workers’ Compensation and Managed Care
  130. Forms and Reports
  131. Appeals and Adjudication
  132. Fraud and Abuse
  133. Workers’ Compensation Billing Notes
  134. Workers’ Compensation Claims Instructions
  135. Appendix I: Forms
  136. Appendix II: Dental Claims Processing
  137. Appendix III: Abbreviations
  138. Bibliography
  139. Glossary
  140. Index

Understanding Health Insurance: A Guide to Billing and Reimbursement PDF Free Download

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