Understanding Health Insurance

Understanding Health Insurance

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Understanding Health Insurance: A Guide to Professional Billing, 7th edition, utilizes a step-by-step approach to provide instruction about the 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.. 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 the UB-92 (CMS-1450) and dental claims.Medical decision making: Low complexity Code Number: 99213 RATIONALE: only 2 of 3 key components is required ... Coding Error Procedure Code Diagnosis Code a 99394 V70.3 Code 99395 should have been reported instead of 99394.

Title:Understanding Health Insurance
Author:Michelle A Green, Rowell
Publisher:Delmar Thomson Learning - 2003-07-01


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