A Guide To Health Insurance Billing Download Free (EPUB, PDF)
A Guide to Health Insurance Billing, Second Edition is an introduction to medical billing, covering everything from patient registration to claims submission, with an emphasis on HIPAA issues. This valuable resource includes introductory concepts, examples, and application exercises designed to show you the basics of insurance billing. You will become familiar with health insurance terminology, understand the legal implications of insurance billing, develop a basic understanding of medical coding systems, and accurately complete insurance claim forms.
Series: A Guide to Health Insurance Billing, 2nd Edition Marie A. Moisio, MA, RHIA Northern Michigan University (Emerita)
Paperback: 580 pages
Publisher: Delmar Cengage Learning; 2 edition (March 30, 2006)
Language: English
ISBN-10: 1418028584
ISBN-13: 978-1418028589
Product Dimensions: 10.9 x 8.5 x 0.8 inches
Shipping Weight: 2.7 pounds
Average Customer Review: 3.9 out of 5 stars See all reviews (10 customer reviews)
Best Sellers Rank: #480,781 in Books (See Top 100 in Books) #139 in Books > Business & Money > Insurance > Health #143 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Practice Management & Reimbursement #211 in Books > Medical Books > Administration & Medicine Economics > Practice Management & Reimbursement
I knew nothing about health insurance. This book is definitely worth the money. What makes it stand out is there are examples they give to make it more clear, as well as a CD and test questions.
the primary forms used by health insurance rely on the ub82/04 and the CMS1500. This book shows fractured entries and without mapping the information to the form before producing exercises to complete a form. The other issue is that exercises to complete a form (with 50+ blocks) only provide data for about 20 blocks of data, so one must go on a hunt throughout the chapter or multiple chapters to be able to fill out a complete form and complete the exercises involving these forms. The CD that comes with is moot -- it does not provide anything that would facilitate the book learning experience. I was frustrated that most of the time I spent flipping through pages going back and forth to narrow down the information I was looking for only to have to go online and get the research that way. For the life of me, I do not understand why it eluded this author to avoid presenting a fully prepared CMS1500 and UB04 with from a registration form(s) data on contrasting pages so a student could precisely see where the data comes FROM to input TO the form and WHERE within those forms that information would go. By using different patient scenarios and only sections of each form for each scenario,, one is constantly struggling to fill a form in its entirety with any kind of assuredness of the process. The book has a lot of basic information that takes up the pages -- such as 'what is health insurance' and the different types of insurance (group, private, etc.) but the meat and potatoes of billing is much more than what this book offers and what it offers it doesn't present well at all.
The book presents medical billing employment opportunities, discusses biller's qualifications, introduces the ICD-9 and CPT concepts, teaches how to develop a claim, guides the completion of HCFA forms, discusses electronic data interchange, and offers separate chapters on managed care, Blue Cross Blue Shield, Medicare, Medicaid, and workers compensation. Each chapter includes key terms and learning objectives as well as reinforcement exercises and examples designed to help learning the basics of insurance billing.An excellent entry-level text for those learning about the insurance billing process.Yuval Lirov, Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age
While it is outdated, I could not follow the billing process, without this guide. You probablyneed to get the CPT book and the ICD_9-CM book with it, to be able to do the homework at the end of the chapters. The included CD has good case studies that help.
Just as advertised; I just hadn't checked the publish date--2001. I need to be more astute.
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