This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. Comprehensive Health Insurance: Billing, Coding, and Reimbursement, provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations, and professionalism.

This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.

Realistic, hands-on exercises prepare students to work effectively in the managed care environment with all types of insurance claims. Self-study review questions and complete, competency-based tests are presented. Easily removable sample practice forms are provided, as well as case study information and practice exercises. Available separately.

"COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e" provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.

Practice the skills you'll need to succeed in health insurance billing! Corresponding to the chapters in Health Insurance Today, 3rd Edition, by Janet I. Beik, this workbook offers preparation for the tasks you'll encounter on the job. Practical assignments reinforce the information in the textbook, and learning activities and exercises ask you to apply your knowledge to real-world situations. Defining Chapter Terms ask you to define the key terms in each chapter. Chapter assessments test your knowledge of textbook content with multiple choice, true/false, short answer, and fill-in-the-blank questions. More than 60 case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Critical Thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Group problem solving activities emphasize the importance of teamwork in the health care field. Internet Exploration exercises in each chapter introduce valuable health insurance resources available online. Performance objectives include hands-on, application-based learning activities with practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out "Release to Return to Work" forms, and filling out Medicare appeals. Application exercises ask you to apply your knowledge and skills to real-world situations. Additional coding exercises offer more practice with coding from the ICD-9-CM and CPT manuals. Self-evaluations include a checklist of what you should have completed for each chapter. Performance evaluations in each chapter track your progress and your overall performance in the course. Updated Conquering Medicare's Challenges chapter reflects the latest changes to Medicare. Coverage of the Electronic Health Record has been added to The Role of Computers in Health Insurance chapter. ICD-10-CM and ICD-10-PCS content has been expanded to address medical coding's transition from ICD-9. Information on the latest standards for HIPAA Transaction 5010 is included. On the companion Evolve website: Medisoft version 16 exercises let you apply skills using standard medical office software (Medisoft sold separately). Electronic forms make it easy to complete workbook exercises on the computer and turn in clean claim forms to your instructor. Guided Completion software gives direction and corrects your work as you complete a CMS-1500 form block-by-block.

This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. For courses in Introduction to Healthcare Billing and Medical Coding A clear illustration of the key health insurance concepts readers need to learn to be workplace ready Comprehensive Health Insurance: Billing, Coding, and Reimbursement provides readers with the knowledge and skills needed to work in a variety of administrative positions in the medical field. It covers the foundations of insurance, billing, coding, and reimbursement, offering a comprehensive view of how each element in the process affects all other steps. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. Numerous case studies and patient files are included throughout to demonstrate refunds and appeals, auditing, and compliance, Medicare calculations, and professionalism. The Third Edition includes 2017 ICD-10, CPT, and HCPCS codes; information about the ramifications of the Affordable Care Act; and current information on health care changes, trends, and the future of health care. For even more practice and review opportunities pair Comprehensive Health Insurance with the Student Workbook. The Workbook (ISBN: 0134787293) contains key terms, chapter objectives, chapter outlines, critical-thinking questions, practice exercises, review questions, and end-of-workbook tests/case study-type problems that test student knowledge of the key concepts presented in the core textbook. Also available with MyLab Health Professions for the Comprehensive Health Insurance course MyLab is an online homework, tutorial, and assessment program designed to work with this text to engage students and improve results. Within its structured environment, students have ample opportunity to practice what they learn and test their understanding to better absorb course material and understand difficult concepts. Note: You are purchasing a standalone product; MyLab does not come packaged with this content. Students, if interested in purchasing this title with MyLab, ask your instructor for the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information. If you would like to purchase both the physical text and MyLab, search for: 0134699815 / 9780134699813 Comprehensive Health Insurance: Billing, Coding, and Reimbursement Plus MyLab Health Professions with Pearson eText -- Access Card Package Package consists of: 013445877X / 9780134458779 Comprehensive Health Insurance: Billing, Coding, and Reimbursement 0134709705 / 9780134709703 MyLab Health Professions with Pearson eText -- Access Card -- for Comprehensive Health Insurance