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Author : Michelle A. Green
Publisher : Unknown
Page : 0 pages
File Size : 54,8 Mb
Release : 2010
Category : Electronic
ISBN : 1111120706
Author : Jo Ann C. Rowell,Michelle A. Green
Publisher : Cengage Learning
Page : 242 pages
File Size : 45,6 Mb
Release : 2002
Category : Health insurance
ISBN : 0766832066
A comprehensive guide to health insurance claim processing that contains pertinent information on common health insurance plans, and coding systems, reimbursement issues, and step-by-step instructions for HCFA-1500 claim completion. CD-ROM in text and accompanying workbook provide additional opportunities to apply material and practice in completing HCFA-1500 forms. Contains new information regarding ICD-10-CM and HCFA reimbursement issues.(key words: health care insurance, HCFA-1500, Insurance claim form)
Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 204 pages
File Size : 51,6 Mb
Release : 2001-10-27
Category : Medical
ISBN : 9780309076098
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.
Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 42,9 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430
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.
Author : Michelle Green
Publisher : Cengage Learning
Page : 688 pages
File Size : 40,9 Mb
Release : 2020-01-02
Category : Business & Economics
ISBN : 0357378644
Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Author : Jill L. Brown
Publisher : Elsevier Health Sciences
Page : 554 pages
File Size : 55,6 Mb
Release : 2005-12-01
Category : Medical
ISBN : 9780721605562
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.
Author : Thomas Bodenheimer,Kevin Grumbach
Publisher : McGraw-Hill/Appleton & Lange
Page : 340 pages
File Size : 42,5 Mb
Release : 1998
Category : Delivery of health care
ISBN : UOM:39015040339197
Numerous case examples illustrate fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment. In addition, this book does a superior job linking policy issues to the practice of medicine. The second edition features a brand new chapter on payment in managed care.
Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 296 pages
File Size : 46,6 Mb
Release : 2002-09-18
Category : Medical
ISBN : 0309169054
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.
Author : Thomas Bodenheimer,Kevin Grumbach
Publisher : McGraw-Hill/Appleton & Lange
Page : 292 pages
File Size : 55,5 Mb
Release : 1995
Category : Health care rationing
ISBN : UOM:39015032694773
A concise, clinically oriented introduction to a topic of growing importance and visibility--the structure and function of the U.S. healthcare system. Case examples illustrate fundamental topics such as containment, health insurance, primary care, and physician and hospital payment--and vividly ties policy issues to the practice of medicine.
Author : Tamara Thompson
Publisher : Greenhaven Publishing LLC
Page : 130 pages
File Size : 50,6 Mb
Release : 2014-12-02
Category : Young Adult Nonfiction
ISBN : 9780737776195
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.
Author : Thomas Bodenheimer,Kevin Grumbach
Publisher : McGraw Hill Professional
Page : 240 pages
File Size : 54,7 Mb
Release : 2012-04-05
Category : Medical
ISBN : 9780071770538
Understand how the healthcare system works – and how you can succeed in it Covers the 2010 Affordable Care Act The most trusted and comprehensive guide to healthcare available, Understanding Health Policy provides everything students and professionals need to build a solid foundation on the field’s most critical issues. Expert practitioners in both the public and private healthcare sectors, the authors cover the entire scope of our healthcare system—from the concepts behind policy decisions to concrete examples of how they affect patients and professionals alike. Understanding Health Policy, 6e makes otherwise difficult concepts easy to understand—so you can make better decisions, improve outcomes, and enact positive change on a daily basis. Features: Coverage of structure, organization, and financing of the health care system Key principles, descriptions, and concrete examples are skillfully interwoven in each chapter to make important issues interesting and understandable Clinical vignettes clarify difficult concepts and demonstrate how they apply to real-world situations Comprehensive list of review questions reinforce what you have learned Understanding Health Policy, 6e will help you develop a clearer, more systematic way of thinking about health care in the United States, its problems, and the alternatives for managing and solving these problems.
Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life
Publisher : National Academies Press
Page : 184 pages
File Size : 54,7 Mb
Release : 2004-09-08
Category : Social Science
ISBN : 9780309165860
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Author : Michelle A. Green
Publisher : Unknown
Page : 128 pages
File Size : 41,5 Mb
Release : 2018
Category : Electronic
ISBN : 0357014731
Author : Darlene Brill
Publisher : Cliffs Notes
Page : 132 pages
File Size : 55,8 Mb
Release : 1999-09
Category : Business & Economics
ISBN : 0764585142
Your shortcut to success(TM) for over 40 years Master the essentials. Gain confidence. Meet new challenges. Fast. That's the reason for CliffsNotes. And that's just what you'll get from this simple guide to cutting through health care red tape. Get more at www.cliffsnotes.com Find free newsletters, cross-linked references, tools, samples, and more -- including the complete CliffsNotes catalog and many downloadable titles. Check out our other CliffsNotes titles See the inside back cover for a complete list of CliffsNotes on Technology and Personal Finance topics -- and look for CliffsNotes on other topics coming soon.
Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Divergent Trends in Longevity in High-Income Countries
Publisher : National Academies Press
Page : 194 pages
File Size : 55,6 Mb
Release : 2011-06-27
Category : Social Science
ISBN : 9780309217101
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.