A Guide to Health Insurance Billing is an entry-level text designed to guide students through the health insurance billing process. It covers all aspects of the billing process, from key terms to procedures to state and federal regulations. Separate chapters examine the guidelines for filing insurance claims with various commercial and Workers' Compensation health insurance programs, as well as the guidelines and common completion procedures for the HCFA-1500, a universal health insurance form. Both ICD-9-CM and CPT coding systems are explained and are accompanied by review exercises that give students several opportunities to code from actual patient information. Managed care and its impact on health insurance billing and the Electronic Data Interchange, a frequently used method for submitting claims, are covered in specialty chapters. The conversational tone and straightforward manner of A Guide to Health Insurance Billing keeps material that is largely considered "dry" engaging and interesting to the student.
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"I definitely would use this text in an introductory billing course. It gives a good overview of the tools needed to develop insurance claims...I have always admired Moisio's practice exercises, and have often supplemented them in my classroom" "I am very glad to see that the author has included UB-04 claim preparation. A lot of my students don't want to work in a doctor's office and I usually have to teach outside of the text to cover the hospital billing information... I am glad to see that the author added a separate chapter on ICD-10. I really think that the implementation of ICD-10 is rapidly approaching and its good that we are preparing our students for the implementation...I would definitely recommend this text...for adoption consideration. This text is extremely thorough and is on the cutting edge of the constant changes in the healthcare billing arena."
An entry-level text for anyone learning about the insurance-billing process. Includes a step-by-step guide for submitting insurance claims for commercial insurance, Blue Cross/Blue Shield, Medicare, TRICARE, CHAMPVA, and worker's compensation. Medical coding chapters cover the fundamentals of ICD-9-CM, an introduction to ICD 10, CPT, and HCPS codin
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