About this product: Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide you with the most essential and up-to-date knowledge on billing and reimbursement. With Understanding Health Insurance, Tenth Edition, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. Exercises in each chapter provide plenty of practice for learning how to bill and reimburse, and the accompanying workbook provides more application-based assignments for each chapter as well as additional case studies to reinforce your knowledge. The text includes free software that allows you to test your knowledge.
About this product: You no longer need a traditional employer plan to get good, affordable health insurance. The New Health Insurance Solution can help you cut your health insurance costs in half if:
You're self-employed, an independent contractor, or your employer doesn't provide health insurance (you can probably get coverage on your own for about $94/month—a fraction of what an employer would have to pay for the same coverage)
You are employed and pay extra to cover your spouse or children under your employer-sponsored plan—you may save 50% by taking them off your employer plan
You own a small business and are getting killed by double-digit premium increases—you can now give employees tax-free money to buy their own plans and get your company out of the health insurance business
The book also explains in detail the best solutions for you if:
You can't find affordable health insurance because you or a child have an expensive preexisting medical problem (your state has a program to provide you with guaranteed coverage )
You're currently putting money into an IRA or a 401(k)—because you don't realize that an HSA is always a better option
You're unsure how you or your parents will be able to afford health insurance during retirement, or how to maximize benefits from Medicare—including the new Part D prescription drug plan
The New Health Insurance Solution is the definitive guide to the new ways every American can now get affordable health care—without an employer.
PAUL ZANE PILZER is a world-renowned economist, a former advisor in two White House administrations, an entrepreneur/employer, an award-winning adjunct professor at NYU, and a New York Times bestselling author.
If you are studying for your life and health insurance licensing exam, we have the ultimate study tool for you. Life and Health Insurance License Exam Cram is a great resource to help you learn the concepts, laws, rate calculations and state and federal regulations that will be covered on the exam. You'll also receive a CD that includes a fully-customizable test engine, detailed score report and state-specific law supplement. No matter where you are taking your exam or which area you need to focus on during your studying, Life and Health Insurance License Exam Cram is your smartest way to get certified.
About this product: Learn to confidently complete and submit health insurance claims with this proven, practice-based approach! Realistic examples, case studies, and application exercises simplify the health insurance billing process and help you learn interactively. Instructional content is broken down into segments for easier learning, with a straightforward, conversational writing style that makes the material accessible and understandable. Accompanied by a companion CD with step-by-step claim form guidance, this easy-to-read resource is your key to mastering health insurance concepts and obtaining maximum reimbursement for your health care facility.
An engaging, conversational writing style makes difficult concepts easier to grasp.
Discussion questions and in-class activities presented throughout each chapter ease learning by breaking material into more manageable segments and reinforcing key points.
Compliance tips alert you to important federal and state regulations.
Real-world examples present complex concepts in a realistic, practice-based context similar to what you'll encounter on the job.
Review and application exercises, including real-world case studies, critical thinking exercises, role-playing exercises, and collaborative learning activities, help you assess your knowledge and understand how to apply what you've learned to practice.
Key term definitions and learning objectives streamline the learning process and familiarize you with important terminology and concepts.
A companion CD reinforces your understanding and guides you interactively through the completion of insurance claims.
An Evolve Resources website links you to additional information for further study and review.
Updated claim form information familiarizes you with the current CMS-1500 (08-05) claim form for the most accurate billing and coding.
About this product: The restructured chapter content of the workbook offers application-based assignments with more critical thinking components. The assignments require learners to demonstrate an understanding of the content rather than simple recall of facts. Chapter 1 provides guidelines for professional development as well as initiating a job search, with numerous resources identified. Chapters 2-17 offer an in-depth review of health insurance billing and reimbursement concepts.
About this product: This book provides a thorough overview of health insurance in the United States, with an emphasis on private insurance. Topics covered include: The historical development of U.S. health insurance and the theory of demand for insurance, Issues of adverse selection and moral hazard, How managed care affects hospital and physician markets, The large role played by employer-sponsored health insurance programs, Health savings accounts, consumer-driven plans, and the small-employer market, Traditional Medicare coverage as well as Medicare Advantage programs and Medigap coverage,Medicaid, SCHIP, and crowd-out of private coverage. Charts and tables as well as bulleted summaries further clarify the key points of each chapter.
About this product: This current, accurate and detailed industry guide for financial service professionals examines life and health insurance simultaneously from the viewpoints of the buyer, the advisor, and the insurer—providing a comprehensive and unbiased treatise on individual and group life; a forthright appraisal of life and health insurance industry products with careful consideration of the environment; and a complete examination of life insurance company operations and regulation. Bases financial treatment of life insured operations on modern financial theory, and devotes entire chapters to the economics of life and health insurance; individual life and health insurance policies; life and health insurance evaluation; the uses of life and health insurance in personal and business planning; government and employee benefit plans; and the management, operation, and regulation of life insurance companies. Offers a strong global orientation, supporting fundamental concepts with an extensive integration of economic and financial theory and international comparisons, and examines how today's health insurance products fit into a broad framework from a contractual, cost, and performance viewpoints. New chapters on the tax treatment of life and health insurance address such areas as estate planning, retirement planning, and the business uses of life and health insurance. For financial planners, salesmen, actuaries, investment managers, attorneys, CPAs, and other financial service professionals.
About this product: Master the skills you'll need for professional success in health insurance billing with this essential practice tool! Each chapter draws on material from the latest edition of Health Insurance Today: A Practical Approach to bring you the most practical, up-to-date preparation for the tasks you'll encounter on the job. Comprehensive review questions, critical thinking exercises, and application-based activities help you reinforce what you've learned and gain valuable experience working with real-world scenarios.
Chapter Assessments test your knowledge of textbook content through multiple choice, true/false, short answer, and fill-in-the-blank questions.
Over 60 realistic Case Studies prepare you for common scenarios you'll encounter in practice.
Critical Thinking Activities strengthen your ability to apply health insurance concepts to a variety of challenging situations.
Group Problem Solving Activities emphasize the importance of teamwork in the health care field.
In-class projects and discussion topics help you enhance your understanding of specific content from the text.
Internet Exploration exercises in each chapter introduce you to valuable health insurance resources available online.
Performance Objectives provide hands-on, application-based practice working with common tasks and forms.
Performance Evaluation charts in every chapter enable you to assess your progress and identify areas requiring additional study and review.
A companion CD simulates the health insurance billing process and familiarizes you with claim forms.
About this product: A Guide to Health Insurance Billing, Second Edition is an introduction to medical billing, covering everything from patient registration to claims submission, with an emphasis on HIPAA issues. This valuable resource includes introductory concepts, examples, and application exercises designed to show you the basics of insurance billing. You will become familiar with health insurance terminology, understand the legal implications of insurance billing, develop a basic understanding of medical coding systems, and accurately complete insurance claim forms.
About this product: A Guide to Health Insurance Billing takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material. · An introduction to the new coding systems, ICD-10. · ICD-9-CM and CPT coding systems are explained using the most current information · Health insurance simulation and coding exercises put users in a realistic insurance billing environment · Managed care and its impact on health insurance billing is covered in a special chapter · Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding · Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission (KEYWORDS: insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance)
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