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Books : Business & Investing : Personal Finance : Insurance : Health
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This clear, step-by-step best-selling introduction to the economics of health and health care thoroughly develops and explains economic ideas and models to reflect the full spectrum of the most current health economics literature. This book uses core economic themes as basic as supply and demand, as venerable as technology or labor issues, and as modern as the economics of information. Chapter topics include health care, health capital, information, health insurance markets, managed care, nonprofit firms, hospitals, physicians and labor, the pharmaceutical industry, government intervention and regulation, and epidemiology and economics. Useful as a reference work for health service researchers, government specialists, and physicians and others in the health care field.
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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.
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Every industrial nation in the world guarantees its citizens access to essential health care services--every country, that is, except the United States. In fact, one in eight Americans--a shocking 43 million people--do not have any health care insurance at all.
One Nation, Uninsured offers a vividly written history of America's failed efforts to address the health care needs of its citizens. Covering the entire twentieth century, Jill Quadagno shows how each attempt to enact national health insurance was met with fierce attacks by powerful stakeholders, who mobilized their considerable resources to keep the financing of health care out of the government's hands. Quadagno describes how at first physicians led the anti-reform coalition, fearful that government entry would mean government control of the lucrative private health care market. Doctors lobbied legislators, influenced elections by giving large campaign contributions to sympathetic candidates, and organized "grassroots" protests, conspiring with other like-minded groups to defeat reform efforts. As the success of Medicare and Medicaid in the mid-century led physicians and the AMA to start scaling back their attacks, the insurance industry began assuming a leading role against reform that continues to this day.
One Nation, Uninsured offers a sweeping history of the battles over health care. It is an invaluable read for anyone who has a stake in the future of America's health care system.
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Uninsured in America goes to the heart of why more than forty million Americans are falling through the cracks in the health care system, and what it means for society as a whole when so many people suffer the consequences of inadequate medical care. Based on interviews with 120 uninsured men and women and dozens of medical providers, policymakers, and advocates from around the nation, this book takes a fresh look at one of the most important social issues facing the United States today. A new afterword updates the stories of many of the people who are so memorably presented here.
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Get the most out of the new Medicare drug coverage!
Everyone wants to get the most out of their retirement benefits -- not to mention the best medical coverage and prescription drug benefits. Social Security, Medicare & Government Pensions clearly explains what the different benefits are, and shows you how to claim what you've earned, including:
- the new Medicare prescription-drug coverage
- Social Security retirement and disability benefits
- Social Security dependents and survivor benefits
- Supplemental Security Income
- federal, state and local government pensions
- Medicare and Medicaid
- medigap insurance and Medicare managed-care plans
- veterans benefits
The 12th edition is completely updated to provide the latest information: Learn about "Medicare Part D," which now provides coverage for outpatient prescription drug costs -- understand what it covers, how to apply for it, and how to use it. You'll also find the latest on Medicare, Medicare HMOs and other managed care plans, as well as the 12 types of medigap health plans.
This plain-English book is a must-have for anyone age 60 or over, and anyone who helps care for an elder.
- the new Medicare prescription-drug coverage
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Trusted by medical insurance specialists for more than 30 years, Insurance Handbook for the Medical Office helps you excel at all aspects of insurance billing for a full range of today's health care plans. This edition helps you keep pace with industry changes, featuring the latest information on HIPAA regulations, diagnostic coding, procedural coding, office and insurance collection strategies, Medicare, and more. The accompanying Student Workbook with CD-ROM (sold separately) lets you practice "real world" billing with patient simulations using Altapoint and the Student Software Challenge.- Procedural (CPT and HCPCS) and diagnostic (ICD-9-CM) coding and documentation are emphasized, since they are the keystones to obtaining maximum reimbursement.
- Key terms are bolded at first mention, explained within the context of the discussion, and defined in the glossary.
- Separate chapters on Electronic Data Interchange and HIPAA Compliance and Privacy in Insurance Billing provide essential knowledge of electronic claims filing, informing you of submission guidelines used in the majority of medical offices today.
- Icons clearly identify each insurance payer with a specific color and graphic, making specific information easy to locate.
- Compliance features located at appropriate points throughout most chapters offer tips to ensure compliance with correct billing and coding practice, particularly HIPAA and OIG.
- A separate chapter on documentation in the medical office describes how proper documentation can prevent penalties and refund requests, and help you prove compliance in the case of an audit or review.
- Detailed examples and samples of completed insurance forms show you how to apply knowledge in the real world.
- Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist's role in filing clean claims, solving problems that do occur, and collecting overdue payments.
- Service to Patient feature throughout the chapters focuses on ways to provide quality service to the patient as well as your co-workers.
- All content has been reviewed by industry experts and meticulously updated to reflect recent changes in insurance claim filing.
- In addition to the list of key terms at the beginning of each chapter, a separate list of key abbreviations clarifies common terms identified in the field primarily by their abbreviations.
- Key points at the end of each chapter briefly summarize important chapter content to help you better understand the subject matter.
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WORKBOOK FOR INSURANCE HANDBOOK FOR THE MEDICAL OFFICE, 10th Edition is an essential learning resource that will enhance and improve your study of Fordney's Insurance Handbook for the Medical Office. The workbook conveniently parallels material in the text, and provides realistic, hands-on exercises that help you apply concepts and develop important critical-thinking skills. An accompanying CD-ROM lets you practice "real world" billing with patient simulations using Altapoint and the Student Software Challenge.- Student Software Challenge, on the enclosed CD, contains 10 patients cases you can use for practice in completing the CMS-1500 claim form.
- Practice management software (AltaPoint), also on the enclosed CD, for use with select claim form completion exercises within the workbook.
- Evolve online resources provide Internet activities and active weblinks from the text.
- Key terms, performance objectives, and a study outline for each chapter, are designed to be used as a quick reference for faster, more effective study.
- The self-study review provides an interactive review in the form of matching, true/false, multiple choice, and fill-in-the-blank questions and answers, so you can test your retention of key material.
- Critical thinking assignments present short, real-world scenarios that prepare you for work in today's medical office environment.
- Key Abbreviation list clarifies the multitude of common abbreviations used in health insurance billing.
- Improved software instructions clearly explain how to install, access, and use all software elements. All software instructions are now conveniently located in the Appendix - one central location for fast reference and ease of use.
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The fourth edition of Medical Insurance: An Integrated Claims Process Approach is designed for medical insurance courses. The textbook provides medical assisting, medical insurance, and health information technology students with the knowledge and skills needed to successfully perform insurance and billing related duties.The chapters’ organization follows the medical billing process to enhance learning, moving from a comprehensive introductory chapter through processing RA/EOBs and handling patient collections. Every chapter has extensive illustrations, forms, and exercises to develop the required competencies as well as exercises to improve underlying essential math and communications skills. This text also provides a fundamental understanding of diagnostic and procedural coding needed to submit claims in compliance with payers’ requirements. New for this edition is a text-specific workbook which provides both review and applications of each textbook chapter.
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Univ. of North Carolina, Chapel Hill. Text offers an introduction to the tools and techniques of healthcare financial management, including accounting and financial statements, managing cash, billings, and collections. This edition features key terms and quotations, marginal definitions, updated perspectives, and additional questions and problems. Previous edition: c1998.
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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.
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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.
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Get it while you can …Complex, ever-changing, and controversial, the future of our current system of Social Security and Medicare is uncertain. This indispensable guide explains the proposed changes and current status of these important social programs. Completely revised to incorporate changes to compensation scales and survivor benefits, and with an expanded section on Medicare and the new drug programs, this book is the most up-to-date overview of Social Security and Medicare currently available.
• Revised and updated with the latest 2006 statistics on income scales and cost of living; such Social Security Benefits as survivor benefits and disability payments; tax codes; and more
• Completely new chapters on Medicare, the Medicare Drug Programs, and the current political climate and proposed changes
• Completely revised section on resources
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Get the best care in the right place, for the right price --this book shows you how!
Finding the right kind of long-term care often requires making difficult decisions during difficult times. Long-Term Care helps you understand the alternatives to nursing facilities and shows you how to find the best care you can afford.
With Long-Term Care, you'll be able to:
-evaluate long-term care insurance
-arrange home care
-explore options beyond nursing homes
-choose a nursing facility
-get the most out of Medicare, Medicaid and other benefit -programs
-protect your assets
-recognize and prevent elder fraud
The completely updated 6th edition has a new chapter on hospice care. It also includes up-to-date benefit numbers, laws and taxes, as well as the latest resources and websites.
With sensitivity and clarity, Joseph Matthews gives you all the information necessary to help plan for and make the best arrangements for long-term care.
What's New in the 6th Edition of Long-Term Care
Overview of What's New
The new edition contains a new chapter on hospice care. It provides detailed information about what hospice care is, how to get it, and what to expect from it. The book also provides contact information for seeking out hospice care in your area.
The new edition contains major updates to the section on health care directives -- including revised information on what to include in a health care directive and who can serve as your agent.
Other updates include:
-revised discussions on asset limits for home care
-revised discussion about permissible and impermissible -transfers of assets
-updated analysis on the benefit of long term health care -insurance policies,
and
-a new description of "share-care" health care policies for -couples.
Chapters Most Affected
Chapter 6 - Hospice Care. Brand new chapter on hospice care: what it is, how to get it, and what to expect from it.
Chapter 8 - Medicaid Coverage for Long-Term Care. Revised discussion of asset limits for home care.
Chapter 9 - Medicaid and Asset Protection. Revised discussion of penalized transfers of assets.
Chapter 10 - Protecting Choices About Medical Care and Finances. Thoroughly revised to include:
-a new checklist for what to include in a health care directive
-a revised discussion of what to include in your HCD
-a new discussion of "palliative care" ("comfort care"),
and
-a new discussion of who can serve as your agent.
Chapter 11 - Long-Term Care Insurance. Updated analysis on the benefit of long term health care insurance policies and a new discussion of "Share-Care," health care policies for couples.
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3-2-1 CODE IT! is your comprehensive learning resource for coding. This book combines ICD-9-CM, CPT, and HCPCS Level II coding concepts into one convenient package and offers a level of detail suitable for beginning and more experienced coders alike. When you are ready to earn a coding credential, this book will continue to help you prepare and practice. The book includes an overview of coding systems, career opportunities for coders, the importance of joining professional organizations and obtaining credentials, the impact of working with other coding professionals, and how to develop opportunities for career advancement.
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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.
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Keep current with all the latest changes with this complete resource! Trusted by medical insurance instructors and billers for more than 30 years, Insurance Handbook for the Medical Office helps you excel at all aspects of insurance billing for a full range of today's health care plans. In full color, this edition includes all the new regulations, such as the latest information on HIPAA, diagnostic coding, procedural coding, bill collection strategies, and Medicare.- Meticulously reviewed by a panel of industry experts.
- Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist's role in filing clean claims, solving problems, and collecting overdue payments.
- Key terms are bolded at first mention, explained within the context of the discussion, and defined in the glossary.
- Key points summarize important chapter content.
- Block-by-block explanations and examples demonstrate the correct way to complete the CMS-1500 claim form.
- Completed sample insurance forms apply concepts to real life.
- Unique payer icons clarify CMS claim form completion.
- Form icons and Computer icons ease the transition from paper to electronic filing.
- Special HIPAA Alerts ensure compliance with governmental privacy regulations.
- Guidelines for the filing and submission of electronic claims include the do's and don'ts for the electronic environment.
- Service to Patient features discuss ways to provide quality service to the patient as well as to your co-workers.
- A documentation chapter covers the principles of documentation and shows how proper documentation can prevent penalties and refund requests, and help you prove compliance in the case of an audit or review.
- An Evolve website includes supplemental Medisoft activities, self-assessment quizzes, updates of content, and web links for further research and study.
- A workbook contains learning tips, review exercises, cases, and critical thinking activities for hands-on experience with real-world cases. (Available separately.)
- Updated learning objectives correlate directly to the text, making it easier to study and to measure your progress.
- New CMS-1500 form filler software on Evolve provides additional exercises for hands-on practice.
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Confused about Medicare’s drug coverage? You’re not alone. Medicare Prescription Drug Coverage For Dummies explains Part D in plain English and shows you how to find the best deal among numerous drug-coverage plan options. Whether you’re new to Medicare or already in the program, you’ll navigate the system with more ease and confidence, avoid pitfalls and scams, and have plenty of help choosing the plan that’s right for you.This easy-to-understand, consumer-friendly guide helps you find out whether Part D affects any drug coverage you already have and weigh the consequences of going without coverage. You’ll find ways to compare plans, identify the one that covers your drugs at the least cost, and make sure you sign up at the right time. And you’ll learn how to minimize your expenses, use the “right” pharmacies, and troubleshoot any problems with your coverage. Discover how to:
- Decide whether you need Part D
- Understand how Part D works, from costs to coverage
- Choose and enroll in the best plan for you
- Get up and running with Part D
- Handle the coverage gap
- Lower your drug costs
- Join and switch plans
- Comply with long-term-care rules and rights
- Challenge plan decisions
- Avoid scams and hard-sell marketing
Now, more than ever, you need clear, reliable information that helps you understand Part D and make smart, cost-saving healthcare decisions. You need Medicare Prescription Drug Coverage For Dummies.
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Are you ready for your exam? Use this book and the interactive CD-ROM to help you prepare for the AHIMA Clinical Registered Health Information Administrator (RHIA) and Registered Health Information Technician (RHIT) certification examinations. This packed resource maps to the most current AHIMA-COC standards and provides strategies, test-taking skills, and a great comprehensive mock examination to practice.
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Learn the basics of physician-based medical billing with Medical Billing 101. Clear and practical guidelines introduce you to the job responsibilities and basic processes comprising the medical billing world. Case studies and application tools offer you practice on actual forms to build confidence in your new knowledge and skills. This resource starts you off right on your journey to becoming a medical billing professional.