Understanding Health Insurance: A Guide To Billing And Reimbursement Download Free (EPUB, PDF)
Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.
Series: Understanding Health Insurance
Paperback: 696 pages
Publisher: Delmar Cengage Learning; 8 edition (August 25, 2005)
Language: English
ISBN-10: 1401895956
ISBN-13: 978-1401895952
Product Dimensions: 10.9 x 8.5 x 1 inches
Shipping Weight: 1.8 pounds
Average Customer Review: 3.6 out of 5 stars See all reviews (34 customer reviews)
Best Sellers Rank: #1,740,760 in Books (See Top 100 in Books) #68 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Medicaid & Medicare #155 in Books > Medical Books > Administration & Medicine Economics > Medicaid & Medicare #449 in Books > Business & Money > Insurance > Health
If you are attempting to process "Professional" Health Insurance claims for a Doctor's Office (Form HCFA-1500) this is a good learning text. Includes a diskette for taking tests on your PC. However, there is no information on processing UB-92 Facility and Institutional claims.
I am taking a CPT coding class and my teacher is Ms.Rowell herself. I am so very pleased with this book, for it gives you step by step instructions in a very detailed manner. The layout is terrific, and the examples given in the book give you a sinerio that helps you put a real life situation into perspective. I have not found a better book that explains health insurance. If you are working in a "billing" environment, you should have this book.
I purchased this book with the accompanying workbook. Although it may contain good information, the answers are not provided to the exercises--in either the book or workbook. Apparently, a separate instructor's manual needs to be purchased. When spending [the money] for both books, I didn't even think that answers would not be provided, much less that I'd have to spend [more money] to get them. I'd recommend the book, workbook, and instructor's manual, unless you're taking a class that allows you to check to make sure you understand the concepts.I'm not sure why I don't have voting buttons--I read every review here before I submitted mine.
I took a night course which used this textbook. The instructor who is a certified coder and is an instructor at other institutions found MANY misleading instructions. You can be told to do something one way in the book but in real life at a billing job, you would have to do it another way. Also, we found many contradicting statements. They say one thing but do something totally different in their examples. It's really not worth the money.
After purchasing the instructor's manual to check my answers, I found errors in every chapter!! From spelling to incorrect percentage amounts. I found myself editing the entire time to find their errors which contradict their text. When I got answers that were not an option in the multiple choice exercises, I would reference the book and the textbook would say I was correct, and the workbook did not. Not worth the money or the time. Extremely exhausting.
This text, workbook, and instructor's manual - which has the answers :-) - are very well put together, easy to follow and thoroughly cover the usual procedures of coding and touch on many hard-to-code ones. I found the history section informative and much as I wanted to get to the coding work,very thorough and very interesting. There are many questions throughout the lessons that very are well thought out and follow the text extremely well and reinforce what you have just read. This set of instructional manuals will really help you learn this subject.
Medical coding and billing continuously evolve in large part because insurance companies and providers have conflicting business goals. An effective biller must go beyond simple claim submission and discover the reasons for underpayments and denials, to solicit missing information from both providers and payers, and follow up on every claim until its full payment.Rowell's and Green's Guide provides an ideal introductory didactic set of materials covering everything from history of health care reimbursement, major insurance companies, and federal health care legislation, to basic knowledge of national diagnosis and procedure coding rules, to complex topics, such as V-codes, and diagnosis code linking. The text is replete with examples and exercises, helping students understand and remember the needed materials.Yuval Lirov, Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age
The book is made to sound as if it would be all you need to become a Medical Billing/Health Insurance specialist. Not a chance. You will need the most current coding manuals to even attempt to complete this course. And even then without the answers you have no way to check your progress. There must be better books, Keep Searching
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