Understanding Health Insurance: A Guide to Billing and Reimbursement [Paperback]

Jo Ann C.(Jo Ann C. Rowell) Rowell (Author), Michelle A. Green (Author)

Book Description

ISBN-10: 1401895956 | ISBN-13: 978-1401895952 | Publication Date: August 25, 2005 | Edition: 008

Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.

Editorial Reviews

Review

Text is clear and easy to understand, it is practical on how to complete and submit accurate claim forms for major insurance companies. The case studies are realistic and beneficial in helping students extract information from a patients chart to a claim form. Both paper and electronic claims are emphasized.

I would recommend this text to any instructor or School Administrator looking for new text on Health Insurance and Billing. This text far supercedes the current text I am using. It is in-depth, full of exercises and examples, and really explains the topics at hand. Health Insurance and Billing can sometimes be boring for students but this text really keeps things interesting and would keep the students busy.

This text combines all concepts of Health Insurance into one, user-friendly text. It has excellent pedagogical elements presented to keep the students attention and help make information easily understandable. This text will make the transition from classroom to medical office easy for students. There is an outstanding supplement package available for instructors. --This text refers to an alternate Paperback edition.

From the Publisher

Delmar Thomson Learning) Textbook for undergraduates studying to be medical assistants, coding and insurance specialists, and health information technicians. Updated to include Internet links in every chapter, revisions in every chapter, and ICD-10 and UB-92 content.Previous edition: c1999. Perfect bound. --This text refers to an out of print or unavailable edition of this title.

See all Editorial Reviews

Product Details

• Paperback: 720 pages
• Publisher: Delmar Cengage Learning; 008 edition (August 25, 2005)
• Language: English
• ISBN-10: 1401895956
• ISBN-13: 978-1401895952
• Product Dimensions: 10.6 x 9.2 x 1 inches
• Shipping Weight: 1.8 pounds (View shipping rates and policies)
• Average Customer Review: 3.7 out of 5 stars  See all reviews (39 customer reviews)
• Amazon Best Sellers Rank: #308,136 in Books (See Top 100 in Books)
  • #30 in Books > Medical Books > Administration & Medicine Economics > Medicaid & Medicare
  • #72 in Books > Business & Investing > Industries & Professions > Insurance > Health

Customer Reviews

Most Helpful Customer Reviews

52 of 54 people found the following review helpful:

4.0 out of 5 stars Good text book for Dr.'s Ofc, but not for Health Facilities, June 12, 1998

By A Customer

This review is from: Understanding Health Insurance: A Guide to Professional Billing (Paperback)

If you are attempting to process "Professional" Health Insurance claims for a Doctor's Office (Form HCFA-1500) this is a good learning text. Includes a diskette for taking tests on your PC. However, there is no information on processing UB-92 Facility and Institutional claims.

47 of 50 people found the following review helpful:

5.0 out of 5 stars it is very detailed and easy to understand, April 21, 1999

By A Customer

This review is from: Understanding Health Insurance: A Guide to Professional Billing (Paperback)

I am taking a CPT coding class and my teacher is Ms.Rowell herself. I am so very pleased with this book, for it gives you step by step instructions in a very detailed manner. The layout is terrific, and the examples given in the book give you a sinerio that helps you put a real life situation into perspective. I have not found a better book that explains health insurance. If you are working in a "billing" environment, you should have this book.

50 of 56 people found the following review helpful:

3.0 out of 5 stars Very misleading, April 23, 2003

By 

P. Steele "Sports Fan" (Brussels, Belgium) - See all my reviews
(REAL NAME)   

This review is from: Understanding Health Insurance: A Guide to Professional Billing, Sixth Edition (Paperback)

I purchased this book with the accompanying workbook. Although it may contain good information, the answers are not provided to the exercises--in either the book or workbook. Apparently, a separate instructor's manual needs to be purchased. When spending [the money] for both books, I didn't even think that answers would not be provided, much less that I'd have to spend [more money] to get them. I'd recommend the book, workbook, and instructor's manual, unless you're taking a class that allows you to check to make sure you understand the concepts.

I'm not sure why I don't have voting buttons--I read every review here before I submitted mine.