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UNIT 1 - BUILDING A FOUNDATION
1. The Origins of Health Insurance
2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional
3. The Legal & Ethical Side of Medical Insurance
4. Types and Sources of Health Insurance
UNIT 2 - HEALTH INSURANCE BASICS
5. The "Universal" Claim Form: CMS-1500
6. Traditional Fee-For-Service/Private Plans
7. Unraveling the Mysteries of Managed Care
8. Understanding Medicaid
9. Conquering Medicare’s Challenges
10. Military Carriers
11. Miscellaneous Carriers: Worker’s Compensation and Disability Insurance
UNIT 3 - CRACKING THE CODES
12. Diagnostic Coding
13. Procedural, Evaluation & Management and HCPCS Coding
UNIT 4 - THE CLAIMS PROCESS
14. The Patient
15. The Claim
UNIT 5 - ADVANCED APPLICATION
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures: Getting Paid
18. Hospital Claim Form: The UB-04
Appendix A
Appendix B
Appendix C
Glossary
Index
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Add Health Insurance Today: A Practical Approach, Learn to complete and submit clean claim forms for major insurance carriers. Health Insurance Today, 3rd Edition, provides case studies for each of the chapters covering these major payers so you can learn how to abstract the information from the patient', Health Insurance Today: A Practical Approach to the inventory that you are selling on WonderClubX
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Add Health Insurance Today: A Practical Approach, Learn to complete and submit clean claim forms for major insurance carriers. Health Insurance Today, 3rd Edition, provides case studies for each of the chapters covering these major payers so you can learn how to abstract the information from the patient', Health Insurance Today: A Practical Approach to your collection on WonderClub |