Understanding Health Insurance: A Guide to Billing and Reimbursement

Updated with the latest code sets, guidelines, and claim forms, UNDERSTANDING HEALTH INSURANCE, Eleventh Edition provides readers with most current information on health insurance billing and reimbursement available on the market. Comprehensive and easy to understand, this book covers important topics in the field including managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. The eleventh edition has been updated to include relevant topics such as new legislation that affects health care, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and release of information. With exercises in each chapter, an accompanying workbook, and access to free software programs, readers will have multiple opportunities to test their knowledge and apply what they've learned.