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 coding systems. The accompanying CD-ROM provides a billing simulation so users can apply skills from the text. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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A Guide to Health Insurance Billing takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material. · An introduction to the new coding systems, ICD-10.· ICD-9-CM and CPT coding systems are explained using the most current information· Health insurance simulation and coding exercises put users in a realistic insurance billing environment· Managed care and its impact on health insurance billing is covered in a special chapter· Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding· Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission(KEYWORDS: insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance)
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