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Understanding Health Insurance: A Guide to Professional Billing [Paperback]

Jo Ann C. Rowell
3.6 out of 5 stars  See all reviews (30 customer reviews)

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Understanding Health Insurance: A Guide to Professional Billing Understanding Health Insurance: A Guide to Professional Billing 3.6 out of 5 stars (30)
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Book Description

November 1999 0766813088 978-0766813083 5th
This learning package highlights the concepts and procedures required to prepare and submit accurate health insurance claims. Includes step-by-step instructions for major forms of claims to help students understand the specific needs. Numerous exercises, complete with answers, provide students with immediate feedback to gain the necessary skills to prepare accurate documents.

Editorial Reviews


Chapter 1: Health Insurance Specialist Career Chapter 2: Introduction to Health Insurance Chapter 3: Managed Health Care Chapter 4: Development of an Insurance Claim Chapter 5: Legal and Regulatory Issues Chapter 6: ICD-9-CM Coding Chapter 7: CPT Coding Chapter 8: HCPCS Coding Chapter 9: CMS Reimbursement Methodologies Chapter 10: Coding for Medical Necessity Chapter 11: Essential CMS-1500 Claim Instructions Chapter 12: Commercial Insurance Chapter 13: Blue Cross and Blue Shield Plans Chapter 14: Medicare Ch 15: Medicaid Chapter 16: Tricare Chapter 17: Workers' Compensation --This text refers to an out of print or unavailable edition of this title.

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.

Product Details

  • Paperback: 536 pages
  • Publisher: Delmar Pub; 5th edition (November 1999)
  • Language: English
  • ISBN-10: 0766813088
  • ISBN-13: 978-0766813083
  • Product Dimensions: 10.9 x 8.4 x 1 inches
  • Shipping Weight: 2.7 pounds
  • Average Customer Review: 3.6 out of 5 stars  See all reviews (30 customer reviews)
  • Amazon Best Sellers Rank: #3,979,981 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews
54 of 57 people found the following review helpful
By A Customer
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.
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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
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.
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58 of 64 people found the following review helpful
3.0 out of 5 stars Very misleading April 23, 2003
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.
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21 of 22 people found the following review helpful
1.0 out of 5 stars find something better to learn from December 10, 2005
By K
I took a night course which used this textbook. The instructor who is a certified coder and is an instructor at other institutions found MANY misleading instructions. You can be told to do something one way in the book but in real life at a billing job, you would have to do it another way. Also, we found many contradicting statements. They say one thing but do something totally different in their examples. It's really not worth the money.
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17 of 18 people found the following review helpful
1.0 out of 5 stars Errors Galore March 9, 2006
By Gillian
After purchasing the instructor's manual to check my answers, I found errors in every chapter!! From spelling to incorrect percentage amounts. I found myself editing the entire time to find their errors which contradict their text. When I got answers that were not an option in the multiple choice exercises, I would reference the book and the textbook would say I was correct, and the workbook did not. Not worth the money or the time. Extremely exhausting.
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20 of 22 people found the following review helpful
5.0 out of 5 stars LEARN HEALTH PROVIDER CODING June 2, 2001
This text, workbook, and instructor's manual - which has the answers :-) - are very well put together, easy to follow and thoroughly cover the usual procedures of coding and touch on many hard-to-code ones. I found the history section informative and much as I wanted to get to the coding work,very thorough and very interesting. There are many questions throughout the lessons that very are well thought out and follow the text extremely well and reinforce what you have just read. This set of instructional manuals will really help you learn this subject.
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15 of 16 people found the following review helpful
2.0 out of 5 stars you will need more than just this book to benefit September 3, 2005
The book is made to sound as if it would be all you need to become a Medical Billing/Health Insurance specialist. Not a chance. You will need the most current coding manuals to even attempt to complete this course. And even then without the answers you have no way to check your progress. There must be better books, Keep Searching
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11 of 11 people found the following review helpful
Format:Paperback|Verified Purchase
Medical coding and billing continuously evolve in large part because insurance companies and providers have conflicting business goals. An effective biller must go beyond simple claim submission and discover the reasons for underpayments and denials, to solicit missing information from both providers and payers, and follow up on every claim until its full payment.

Rowell's and Green's Guide provides an ideal introductory didactic set of materials covering everything from history of health care reimbursement, major insurance companies, and federal health care legislation, to basic knowledge of national diagnosis and procedure coding rules, to complex topics, such as V-codes, and diagnosis code linking. The text is replete with examples and exercises, helping students understand and remember the needed materials.

Yuval Lirov, Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age
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Most Recent Customer Reviews
5.0 out of 5 stars Great Book for Learning
this book is what my online school used and it was packed full of all the information someone would need for learning Medical Coding and Billing.
Published 12 months ago by Kindle Customer
4.0 out of 5 stars Thanks
Thank you for sending my order in time and being reliable. I trust and I like shopping here. thank you one more time.
Published on November 8, 2011 by wael
1.0 out of 5 stars Wrong Product
Good Service, Wrong Product. It was shown as a Hardcover book, but I received a Gray Paperback workbook. Read more
Published on April 28, 2011 by Tee
2.0 out of 5 stars Unhappy student camper
At first, I was delighted. Yes, this textbook had writing throughout the margins. Yes, a lot of the review questions were already answered right in the book, but I figured that... Read more
Published on November 30, 2010 by Ellen S.
Published on September 17, 2010 by ladydianne
5.0 out of 5 stars Great Value for the Price
The price was awesome. The time it took for the product to be delivered was awesome. I would definitely buy this person again.
Published on August 19, 2010 by Ms. Jones
Published on April 26, 2010 by K. GONZALEZ
4.0 out of 5 stars Worked well for the course I took.
So far, the course required this book and it was very good with providing homework and examples.
Published on February 20, 2010 by Jade
5.0 out of 5 stars Item Received Better Than Expected
Excellent customer service! The book arrived in just 2 days. I could not be more pleased with the "like new" condition. Read more
Published on November 1, 2009 by C. L. Brown
5.0 out of 5 stars Great Service
I got the book quickly and in the exact condition as stated online. Very quick response from amazon as well as from the seller when requesting an exact ship date. Read more
Published on September 3, 2009 by R. Voss
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