Understanding health insurance : a guide to billing and reimbursement

Understanding health insurance : a guide to billing and reimbursement

Bibliographic Details
Main Author: Rowell, Jo Ann C. , 1934- (Author)
Other Authors: Green, Michelle A. (Editor)
Format: Book
Published: Clifton Park, NY : Delmar Cengage Learning , c2008
Edition:9th ed
Subjects:
Health insurance claims > United States
Health insurance > United States
Health insurance > United States > Forms
Insurance Claim Reporting > United States > Forms
Insurance Claim Reporting > United States > Problems and Exercises
Insurance Claim Review > United States > Forms
Insurance Claim Review > United States > Problems and Exercises
Table of Contents:
  • 1. Health insurance specialist career
  • 2. Introduction to health insurance
  • 3. Managed health care
  • 4. Development of an insurance claim
  • 5. Legal and regulatory issues
  • 6. ICD 9 cm coding
  • 7. CPT coding
  • 8. HCPCS level II coding
  • 9. CMS reimbursement methodologies
  • 10. Coding for medical necessity
  • 11. Essential CMS 1500 claim instructions
  • 12. Commercial insurance
  • 13. Blue cross blue shield
  • 14. Medicare
  • 15. Medicaid
  • 16. Tricare
  • 17. Worker's compensation

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