Discover the essential tool to prepare for a career in medical insurance billing -- UNDERSTANDING HEALTH INSURANCE, 13E. This comprehensive, easy-to-understand, updated book presents the latest code sets and guidelines. You cover today's most important topics, such as managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care, including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; case mix management; hospital-acquired conditions; present on admission; and value-based purchasing. Practice exercises and the workbook (available separately) provides application-based assignments and case studies to reinforce your understanding, as well as CMRS, CPC-P, and CPB Mock Exams. New editions include online access to SimClaim CMS-1500 claims completion software and Optum's EncoderPro.com Expert.
This money-saving package includes the 4th edition of Health Insurance Today?Textbook and Workbook.
A comprehensive guide designed to help consumers understand the American health insurance system so that they can obtain the benefits to which they are entitled. Epstein explains the ins and outs of both new and traditional health insurance plans, including traditional individual and group policies, HMOs and other types of managed care plans, self-funded plans, Medicare, Medicare HMOs, Medigap, long-term care, COBRA, CHAMPUS, and Medical Savings Accounts.
Written by a nationally syndicated columnist, this useful volume also deals with special health insurance issues related to children, adults with special needs, and individuals who may need long-term care. In addition, Epstein provides valuable information for individuals who are in the process of changing jobs or making changes in their marital or family status, choosing a health insurance plan, or arranging long-term care-including placement in a nursing home or an assisted-living facility-for an aging parent. The book has a practical focus with a variety of tables and worksheets to help consumers establish a system for preventing health insurance problems, and for dealing with any health insurance problems that may arise. It also contains answers to common questions about health insurance, and provides a list of organizations that offer detailed information and advice in regard to specific health insurance problems.
Local Government Fiscal Health reinvigorates the debates around the monitoring, reporting, assessment and management of local government fiscal stress, bankruptcy, and state takeovers. The book provides both a solid conceptual basis for understanding the sources and causes behind local government fiscal stress and crisis, as well as tools for monitoring, reporting, and addressing such crises. Based on theoretical frameworks as well as empirical evidence and case studies, it also addresses such issues as the impact of GASB 34 and GASB 45 on the assessment of and policies to address fiscal stress and crisis. Ideal for students of Public Policy and Public Administration, the book seeks to both advance the state of the field in terms of research and frameworks around fiscal stress in local government as well as provide an assessment of the tools, monitoring practices and state and local policies that are used to address situations of fiscal stress. Key Features: Gathers current thinking and research on the topic for use by academics and students, and updates classic works on fiscal stress and fiscal distress by Terry Clark, Charles Levine, and others. Provides a desk reference for practitioners, especially now that fiscal health is again at the forefront of people's attention. Provides coverage of the full range of concerns and concepts relevant to defining and measuring fiscal health. Provides comprehensive coverage of the many environmental and organizational factors influencing fiscal health. Fill gaps/provide a complement to existing material such as the Honadle et al. Fiscal Health book and the ICMA Financial Trends Monitoring System book. reinvigorates the debates around the monitoring, reporting, assessment and management of local government fiscal stress, bankruptcy, and state takeovers.