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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Book Description
Editorial Reviews
Review
"I definitely would use this text in an introductory billing course. It gives a good overview of the tools needed to develop insurance claims…I have always admired Moisio's practice exercises, and have often supplemented them in my classroom"
"I am very glad to see that the author has included UB-04 claim preparation. A lot of my students don't want to work in a doctor's office and I usually have to teach outside of the text to cover the hospital billing information… I am glad to see that the author added a separate chapter on ICD-10. I really think that the implementation of ICD-10 is rapidly approaching and its good that we are preparing our students for the implementation…I would definitely recommend this text…for adoption consideration. This text is extremely thorough and is on the cutting edge of the constant changes in the healthcare billing arena." --This text refers to an alternate Paperback edition.
"I am very glad to see that the author has included UB-04 claim preparation. A lot of my students don't want to work in a doctor's office and I usually have to teach outside of the text to cover the hospital billing information… I am glad to see that the author added a separate chapter on ICD-10. I really think that the implementation of ICD-10 is rapidly approaching and its good that we are preparing our students for the implementation…I would definitely recommend this text…for adoption consideration. This text is extremely thorough and is on the cutting edge of the constant changes in the healthcare billing arena." --This text refers to an alternate Paperback edition.
About the Author
Marie A. Moisio, M.A., RHIA
Associate Professor, Northern Michigan University (Retired in 2003, 15 years teaching experience medical billing; medical coding; health information processing)
Co-Author: Medical Terminology: A Student Centered Approach; Understanding Laboratory and Diagnostic Tests.
Consultant for several long term care facilities and physicians? offices; health information management; compliance; coding practices; auditing insurance claims and documentation in the patients? records.
Presented several workshops about the legal aspects of health information management and documentation.
Director, Health Information Department(s): 400-bed regional medical center; 450-bed regional psychiatric treatment facility
Over 25 years experience in health information management.
Associate Professor, Northern Michigan University (Retired in 2003, 15 years teaching experience medical billing; medical coding; health information processing)
Co-Author: Medical Terminology: A Student Centered Approach; Understanding Laboratory and Diagnostic Tests.
Consultant for several long term care facilities and physicians? offices; health information management; compliance; coding practices; auditing insurance claims and documentation in the patients? records.
Presented several workshops about the legal aspects of health information management and documentation.
Director, Health Information Department(s): 400-bed regional medical center; 450-bed regional psychiatric treatment facility
Over 25 years experience in health information management.
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Most Helpful Customer Reviews
11 of 11 people found the following review helpful:
4.0 out of 5 stars
Easy to Understand,
This review is from: A Guide to Health Insurance Billing (Paperback)
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.
3 of 3 people found the following review helpful:
5.0 out of 5 stars
Excellent step-by-step introduction to electronic medical billing,
By Dr. Yuval Lirov "Medical Billing Networks and... (New Jersey, USA) - See all my reviews (VINE VOICE) (REAL NAME)
This review is from: A Guide to Health Insurance Billing (Paperback)
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
1 of 1 people found the following review helpful:
2.0 out of 5 stars
insurance abilling,
By Jane Austen "Jane A." (Pocatello, ID) - See all my reviews
Amazon Verified Purchase(What's this?)
This review is from: A Guide to Health Insurance Billing (Paperback)
Just as advertised; I just hadn't checked the publish date--2001. I need to be more astute.
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Inside This Book
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First Sentence:
Upon successful completion of this chapter, the reader should be able to: 1. Describe at least ten responsibilities of an insurance billing specialist Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
insurance billing specialist, information necessary benefits, starred procedures, electronic claims processor, insurance billing fraud, line following each statement, specialist submits, patient registration form, specific subterms, physician office coding, short answer for each question, mary payer, where services were rendered, encountering health services, numeric modifiers, prior authorization number, undersigned physician, health insurance billing, crossover program, surgical package, anesthesia codes, reserved for local use, patient account representative, such other date, process this claim Key Phrases - Capitalized Phrases (CAPs): (learn more)
Reinforcement Exercises, Include Area Code, Required Enter, American Medical Association, Health Care Financing Administration, Explain Unusual Circumstances, Current Procedural Terminology, Superiorland Clinic, United States, Hennepin Avenue Blueberry, Medicare Summary Notice, International Classification of Diseases, Erika Electric, American Health Information Management Association, Coding Clinic, Example Modifier, Railroad Retirement Medicare, Tenth Revision, Date of Accident, Elizabeth Foy, Family Plan, Federal Employee Plan, Name of Insured, Ninth Revision, Other Outpatient Services New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Upon successful completion of this chapter, the reader should be able to: 1. Describe at least ten responsibilities of an insurance billing specialist Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
insurance billing specialist, information necessary benefits, starred procedures, electronic claims processor, insurance billing fraud, line following each statement, specialist submits, patient registration form, specific subterms, physician office coding, short answer for each question, mary payer, where services were rendered, encountering health services, numeric modifiers, prior authorization number, undersigned physician, health insurance billing, crossover program, surgical package, anesthesia codes, reserved for local use, patient account representative, such other date, process this claim Key Phrases - Capitalized Phrases (CAPs): (learn more)
Reinforcement Exercises, Include Area Code, Required Enter, American Medical Association, Health Care Financing Administration, Explain Unusual Circumstances, Current Procedural Terminology, Superiorland Clinic, United States, Hennepin Avenue Blueberry, Medicare Summary Notice, International Classification of Diseases, Erika Electric, American Health Information Management Association, Coding Clinic, Example Modifier, Railroad Retirement Medicare, Tenth Revision, Date of Accident, Elizabeth Foy, Family Plan, Federal Employee Plan, Name of Insured, Ninth Revision, Other Outpatient Services New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Citations (learn more)
This book cites 6
books:
See all 6 books this book cites
2
books
cite this book:
- Understanding Health Insurance: A Guide to Professional Billing by Jo Ann C. Rowell in Back Matter
- Health Insurance Made E-Z by Silver Lake Publishing in Back Matter
- For the Record by Rh Value Publishing in Back Matter
- St. Anthony by Regina Press Malhame & Company in Back Matter
- Understanding Medical Coding: A Comprehensive Guide by Sandra L. Johnson on page 70
See all 6 books this book cites
- Diversified Health Occupations, 6E (Simmers, Diversified Health Occupations) by Louise M Simmers on page 883
- Best Home Businesses for People 50+ by Paul Edwards on page 60
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