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Understanding Health Insurance (book Only)

RRP $464.99

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Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.


Understanding Health Insurance

RRP $553.99

Click on the Google Preview image above to read some pages of this book!

Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.


Social Functions And Economic Aspects Of Health Insurance

RRP $546.99

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Statistics published by the U. S. Department of Commerce (1980) indicate that in 1977 we spent 8. 1% of our gross national product (GNP) on life, health, property-casualty, and other forms of insurance. An additional 5. 7% was used to pay the Social Security tax, which is another form of insurance premium, for a total of 14. 8% of the GNP. Although insurance had its historical origin in marine insurance, it has now developed into one of the major industries of the American economy and extends into many areas of economic activity. One area where growth has been particularly strong is the medical sector. Health insurance is a major institution in all industrialized countries. It became a government responsibility in 1883 when Bismarck intro- duced a compulsory program of health insurance for industrial workers in Germany. Programs for workers in various industrial and income categories soon followed in other European countries-Austria (1888), Hungary (1891), Norway (1909), Servia (1910), Great Britain (1911), and Russia and Romania (1912) (Rubinow, 1913:250). Programs in these countries were extended in subsequent years, and other countries in Europe followed with their own programs. Consequently, today most industrial countries have universal or near-universal health insurance coverage. In the United States the issue of national health insurance has been seriously debated since just prior to World War I, and polling data since the 1930s show that a substantial majority of the public has been supportive of such a program (Erskine, 1975).


Understanding The Global Dimensions Of Health

RRP $299.99

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"Health is not escaping the current bulldozer of 'globalization, ' with its attendant benefits, errors, complications, and unknowns. Economic, social, political, environmental, behavioural, and even transcendental factors are being perceived as shaping the increasingly borderless world order, and societal structures, including the health professional, are finding themselves ill prepared for the changes...This book is an attempt to understand, explain and if possible act on the transformations....It is highly recommended as a welcome collection of level-headed analyses of the current confused transmutations in disease theory and health action" (Journal of Humanitarian Medicine, vol. IV, no. 4, October-December 2004).

"With a free spirit, the authors examine the bioethical, socio-political and scientific aspects of health" (World Health Organization Quarterly News, October-December 2005).

Health is a basic human right. But as our planet grows smaller, the number of people without even minimal care continues to rise. Understanding the Global Dimensions of Health brings into sharp focus the ethics and multiple questions involved in keeping the world in optimal health - and identifies the massive tasks that lie ahead.

Twenty-one internationally known contributors examine the bioethical, sociopolitical and scientific aspects of health, epidemics, aging populations, the double burden of disease, food safety, and other major health concerns of well-being at the international level. Because exporting health care expertise abroad entails more than merely translating what we know, they meet the controversies head-on:

- Are health technologies wisely used?
- Can today's medicine coexist with traditional views and cultural practices?
- Will the configuration of health resources change as people live longer?
- Why are pandemics not controlled better?
- Who wins when health systems clash with sociopolitical systems?
- Does globalization necessarily mean the westernization and homogenization of care?

Fast changing conditions and recent catastrophic events demand answers to these and similar vital questions. The authors of Understanding the Global Dimensions of Health balance realism, optimism and social conscience in their coverage so health professionals, policymakers and leaders can address them - locally as well as globally.


The Principle Of Indemnity In Marine Insurance Contracts

RRP $797.99

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Marine Insurance is considered one of the oldest of the many forms of commercial protection. It has flourished through the establishment of the institution of the ''coffee-houses'', wherein ''underwriting" was being conducted and from where the evolution and dominance of the Lloyd's has stemmed as the world's most famous insurance market. Marine insurance contracts are special in that they have special characteristics and also be cause they are contracts of indemnity. This book examines the principle of indemnity within marine in surance contracts. The legal problems related to the principle, in theory and in practice, are discussed and evaluated through the citation and criti cal analysis of the relevant case law in England as well in some of the most representative common law and continental law jurisdictions, together with an analysis comprising thoughts and proposals on possible extensions, fur ther research options, and a possible fiiture law reform. The book comprises of six (6) chapters: chapter one (1) discusses the history of marine insurance in England and the policy reasoning behind the enactment of the various English statutes as well as the history, legal framework and the way marine insurance is regulated in the other jurisdic tions. Chapter two (2) discusses the concept and importance of insurable interest in relation to indemnity marine insurance contracts and the cove rage offered under such contracts both in England and in the other legal systems."



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