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Health Insurance Today: A Practical Approach simplifies health insurance concepts through abundant real-world examples, case studies and application exercises. Practice-based instruction, supported by the direct, conversational writing style, makes the often-complicated insurance billing and coding process understandable and accessible.
Table of Contents
- Front Matter
- Chapter 1 Medical Insurance: Where Did It Come From?
- Chapter 2 Tools of the Trade: A Career as a Health (Medical) Insurance Professional
- Chapter 3 The Legal and Ethical Side of Medical Insurance
- Chapter 4 Types and Sources of Health Insurance
- Chapter 5 The “Universal” Claim Form: CMS-1500
- Chapter 6 Traditional Fee-for-Service/Private Plans
- Chapter 7 Unraveling the Mysteries of Managed Care
- Chapter 8 Understanding Medicaid
- Chapter 9 Conquering Medicare's Challenges
- Chapter 10 Military Carriers: TRICARE and CHAMPVA
- Chapter 11 Miscellaneous Carriers: Workers' Compensation and Disability Insurance
- Chapter 12 Diagnostic Coding
- Chapter 13 Procedural, Evaluation and Management and HCPCS Coding
- Chapter 14 The Patient
- Chapter 15 The Claim
- Chapter 16 The Role of Computers in Health Insurance
- Chapter 17 Reimbursement Procedures: Getting Paid
- Chapter 18 Hospital Billing and the UB-92
- APPENDICES
