Understanding Health Insurance: A Guide to Billing and Reimbursement

Understanding Health Insurance: A Guide to Billing and Reimbursement

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Understanding Health Insurance, 12th Edition, is the essential learning tool your students need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The twelfth edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the workbook (available separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online SimClaimTM CMS-1500 claims completion software, and free-trial access to Optuma€™s EncoderPro.coma€”Expert encoder software. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.A substantive portion of an E/M visit involves performing all or some portion of the history, examination, or medical decision making (the key components of an E/M service). The physician and qualified NPP must be in the same group practiceanbsp;...

Title:Understanding Health Insurance: A Guide to Billing and Reimbursement
Author: Michelle Green
Publisher:Cengage Learning - 2014-01-14

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