| Understanding Health Insurance: A Guide to Billing and Reimbursement |  | Authors: Michelle A. Green, Joann C. Rowell
Category: Book
List Price: $112.95
Buy New: $96.96
You Save: $15.99 (14%)
New (6) Used (1) from $96.96
Avg. Customer Rating:  16 reviews
Sales Rank: 852991
Media: Paperback
Edition: 9 Pap/Cdr
Pages: 684
Shipping Weight (lbs): 4.3
Dimensions (in): 10.9 x 8.5 x 1.6
ISBN: 1428301135
Dewey Decimal Number: 368
EAN: 9781428301139
ASIN: 1428301135
Publication Date: January 2008
Availability: Usually ships in 1-2 business days
Shipping: Expedited shipping available
Condition: Brand new 9th edition With CD and Workbook ships fast ..
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Product Description
Understanding Health Insurance: A Guide to Professional Billing, 7th edition, is a comprehensive guide for those learning about health insurance claims processing and reimbursement issues. The text utilizes a step-by-step approach to successful completion of health insurance claims. The objectives of this edition are to 1) introduce information about major third party payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately. Numerous examples help clarify key concepts. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing UB-92 (CMS-1450) claims and dental claims.
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| Customer Reviews: Read 11 more reviews...
 Very expensive, and not worth it January 28, 2008
1 out of 1 found this review helpful
I had to purchase this as it is required for a class, but even our teacher admits that the book is not that great. It's a very boring read, indeed.
Understanding Health Insurance: A Guide to Professional Billing May 8, 2007
0 out of 1 found this review helpful
I did not received the book, I order, still waiting to get the book.
 Comprehensive Instruction Material for Beginner Coders and Billers April 9, 2007
8 out of 8 found this review helpful
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, Practicing Profitability - Billing Network Effect for Revenue Cycle Control in Healthcare Clinics and Chiropractic Offices: Collections, Audit Risk, SOAP Notes, Scheduling, Care Plans, and Coding
Learning Tool March 11, 2007
4 out of 4 found this review helpful
This book is fanastic and provides up-to-date information on the health insurance industry. Its great for learners and old timers too. Gives a very broad spectrum of the health industry and easy to comprehend. I recommend this book to anyone as a teaching/learning tool.
Errors Galore March 9, 2006
13 out of 14 found this review helpful
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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