Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Editi

Description: Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Edition by Michelle Green Strengthen your skills and develop a solid foundation for professional success with Greens UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2023 Edition. This reader-friendly, comprehensive resource provides a practical, up-to-date guide to current medical code sets and coding guidelines, preparing you to assign ICD-10-CM, CPT and HCPCS Level II 2023 codes; complete health insurance claims; and master key revenue management concepts. Youll focus on important topics such as managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity and common health insurance plans. The current edition introduces the MIPS Value Pathways; explains major changes for selecting codes in the CPT 2023 evaluation and management section; and clarifies key health insurance concepts such as risk adjustments, hierarchical condition category coding, patient portals, balance billing, coordination of benefits, third-party administrators, Medicare appeals process and whistleblowers. In addition, a helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer interactive practice in completing CMS-1500 claims and assigning codes. FORMAT Paperback LANGUAGE English CONDITION Brand New Author Biography Michelle Green has served in the capacity of full-time or adjunct faculty member as needed since 2017, and during Spring 2023 was named interim program director in the health information technology department at Mohawk Valley Community College in Utica, New York. She was the SUNY Distinguished Teaching Professor in the physical and life sciences department at the State University of New York College of Technology at Alfred for more than 30 years. She has authored three popular textbooks related to coding, revenue management and health information management. An active member of the AAPC and American Health Information Management Association, Green has been recognized for her excellence in teaching as well as her significant contributions to the health information management profession. Her numerous accolades include the State University of New York Chancellors Award for Excellence in Teaching, Alfred State Colleges Alumni Association Teacher of the Year, Whos Who Among Americas Teachers, AHIMAs FORE Triumph Educator Award and NYHIMAs Educator Award. In addition, she is a Registered Health Information Administrator, a fellow of the American Health Information Management Association and a Certified Professional Coder. She earned an MPS from Alfred University and a Bachelor of Science from Daemen College. Table of Contents 1. Health Insurance Specialist Career.2. Introduction to Health Insurance and Managed Care.3. Introduction to Revenue Management.4. Revenue Management: Insurance Claims, Denied Claims and Appeals and Credit and Collections.5. Legal Aspects of Health Insurance and Reimbursement.6. ICD-10-CM Coding.7. CPT Coding.8. HCPCS Level II Coding.9. CMS Reimbursement Methodologies.10. Coding Compliance, Clinical Documentation Improvement and Coding for Medical Necessity.11. CMS-1500 and UB-04 Claims.12. Commercial Insurance.13. BlueCross BlueShield.14. Medicare.15. Medicaid.16. TRICARE.17. Workers Compensation.Appendices.Bibliography.Glossary.Index. Details ISBN0357764064 Author Michelle Green Language English Year 2023 Edition 18th ISBN-10 0357764064 ISBN-13 9780357764060 Format Paperback Publisher Cengage Learning, Inc Imprint Delmar Cengage Learning Place of Publication Clifton Park Country of Publication United States Pages 704 Series Mindtap Course List Publication Date 2023-01-17 NZ Release Date 2023-01-17 US Release Date 2023-01-17 UK Release Date 2023-01-17 Edition Description 18th edition Replaces 9780357621356 DEWEY 368.3820973 Audience Tertiary & Higher Education AU Release Date 2023-01-16 Replaced by 9780357932063 We've got this At The Nile, if you're looking for it, we've got it. With fast shipping, low prices, friendly service and well over a million items - you're bound to find what you want, at a price you'll love! TheNile_Item_ID:146680780;

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