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Understanding Health Insurance: A Guide to Professional Billing Paperback – November, 1999

ISBN-13: 978-0766813083 ISBN-10: 0766813088 Edition: 5th

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Product Details

  • Paperback: 536 pages
  • Publisher: Delmar Pub; 5th edition (November 1999)
  • Language: English
  • ISBN-10: 0766813088
  • ISBN-13: 978-0766813083
  • Product Dimensions: 0.8 x 8.5 x 11 inches
  • Shipping Weight: 2.7 pounds
  • Average Customer Review: 3.7 out of 5 stars  See all reviews (31 customer reviews)
  • Amazon Best Sellers Rank: #4,511,956 in Books (See Top 100 in Books)

Editorial Reviews

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.

From the Author

The sixth edition of Understanding Health Insurance has a new coauthor! She is Michelle A. Green, a full-time professor at the State University of New York, College of Technology at Alfred. She looks forward to receiving users' questions about and suggestions for improving the textbook at sunyprofessor@yahoo.com. --This text refers to an out of print or unavailable edition of this title.

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Customer Reviews

I recommend this book to anyone as a teaching/learning tool.
Elizabeth C. Braxton
After purchasing the instructor's manual to check my answers, I found errors in every chapter!!
Gillian
I got the book quickly and in the exact condition as stated online.
R. Voss

Most Helpful Customer Reviews

54 of 57 people found the following review helpful By A Customer on June 12, 1998
Format: 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.
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47 of 50 people found the following review helpful By A Customer on April 21, 1999
Format: 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.
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58 of 64 people found the following review helpful By P. Steele on April 23, 2003
Format: 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.
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21 of 22 people found the following review helpful By K on December 10, 2005
Format: Paperback
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 By Gillian on March 9, 2006
Format: Paperback
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 By Kate Wright on June 2, 2001
Format: Paperback
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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11 of 11 people found the following review helpful By Dr. Yuval Lirov VINE VOICE on April 9, 2007
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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15 of 16 people found the following review helpful By Medical Billing Student on September 3, 2005
Format: Paperback
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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