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Medical Insurance Made Easy - E-Book
Author: Jill Brown
Publisher: Elsevier Health Sciences
Published: 2013-08-07
Total Pages: 560
ISBN-13: 0323277012
DOWNLOAD EBOOK →This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Coverage Matters
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2001-10-27
Total Pages: 204
ISBN-13: 0309076099
DOWNLOAD EBOOK →Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
The Affordable Care Act
Author: Tamara Thompson
Publisher: Greenhaven Publishing LLC
Published: 2014-12-02
Total Pages: 130
ISBN-13: 0737776196
DOWNLOAD EBOOK →The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Understanding Your Health Insurance
Author: Narilyn Baylon
Publisher:
Published: 2016-06-15
Total Pages: 110
ISBN-13: 9781533455031
DOWNLOAD EBOOK →Uncover and Breakthrough your Questions and skepticism about Health Insurance!Are you always skeptical about health insurance? I don't blame you because even when you don't use your health insurance, you keep paying for it every month, and it seems like a waste of money. Are you worried about the cost? Is that the reason you don't have health insurance? What if I tell you that you don't have to worry at all! Cost varies from $49 to $500. You can get government aid insurance or faith-based insurance which usually provide cheaper rates based on your situation. Are you always challenged about the confusing policy? Most of us are because the policy is very long and foreign to our knowledge. This book will simplify it for you! Do you know how it all works, especially the financial snafu? You probably don't, but I will tell you how important it is that you should understand this area as this is the most critical. We are talking about your money, your financial obligations, and how you should handle it. Do you get surprising bills in the mail when you expected it to be covered by your health insurance? Many people are surprised when they receive a bill when they think it should be covered by their health insurance. Do you know what your benefits and coverage are? You'll be surprised how many benefits are covered by your health insurance, but we don't know about most of them unless we ask or thoroughly search them. This book will tell you exactly what those benefits and coverages are. Once you discover all of them, you'll be thankful you have health insurance and your skeptical mind will find its light!In 2016, of an estimated 323 million people in United States, at least 44 million are uninsured! Whether you are insured or uninsured or you are an EMPLOYEE, EMPLOYER, PROVIDER or HEALTH INSURANCE, this book is for you! This book simplifies the daunting and confusing, yet very important issue of health insurance.This book will UNCOVER the basics, BREAK through the confusing financial obligations such as PREMIUMS, DEDUCTIBLES, OUT-OF-POCKET, COPAYS, and COINSURANCE. It represents facts based on real work experiences that I will be sharing with you so you don't have to go through what I had to go through. Start uncovering your health insurance today and ENJOY the greatness of health benefits and coverage it provides.
Care Without Coverage
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2002-06-20
Total Pages: 213
ISBN-13: 0309083435
DOWNLOAD EBOOK →Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Fundamentals of Health Insurance
Health Insurance is a Family Matter
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2002-09-18
Total Pages: 296
ISBN-13: 0309169054
DOWNLOAD EBOOK →Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
Insurance For Dummies
Author: Walker Riise
Publisher:
Published: 2021-05-20
Total Pages: 36
ISBN-13:
DOWNLOAD EBOOK →Health insurance is a product that covers your medical expenses. Like auto insurance covers your car if you get into an accident, health insurance covers you if you get sick or injured. Insurance plans can differ in which providers you can see and how much you have to pay. It's important to understand your costs and key health insurance terms, so you'll know what services your plan will pay for and how much each visit or medicine will cost. This book will tell you the most important things you need to know about health insurance. You can use this book as a tool to gain confidence and to help you effectively use your health insurance plan.
Health Insurance
Author: Ermanno Pitacco
Publisher: Springer
Published: 2014-11-04
Total Pages: 172
ISBN-13: 3319122355
DOWNLOAD EBOOK →Health Insurance aims at filling a gap in actuarial literature, attempting to solve the frequent misunderstanding in regards to both the purpose and the contents of health insurance products (and ‘protection products’, more generally) on the one hand, and the relevant actuarial structures on the other. In order to cover the basic principles regarding health insurance techniques, the first few chapters in this book are mainly devoted to the need for health insurance and a description of insurance products in this area (sickness insurance, accident insurance, critical illness covers, income protection, long-term care insurance, health-related benefits as riders to life insurance policies). An introduction to general actuarial and risk-management issues follows. Basic actuarial models are presented for sickness insurance and income protection (i.e. disability annuities). Several numerical examples help the reader understand the main features of pricing and reserving in the health insurance area. A short introduction to actuarial models for long-term care insurance products is also provided. Advanced undergraduate and graduate students in actuarial sciences; graduate students in economics, business and finance; and professionals and technicians operating in insurance and pension areas will find this book of benefit.
