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The fast-changing health insurance claims environment has become more complex and more challenging than ever! This complete worktext and practice software learning package highlights the concepts and procedures that medical assisting students need to know to prepare and submit accurate health insurance claims.
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.
Regarded as the citable treatise in the field, the 7th Edition of Legal Medicine explores and illustrates the legal implications of medical practice and the special legal issues arising from managed care. Edited by the American College of Legal Medicine Textbook Committee, it features comprehensive discussions on a myriad of legal issues that health care professionals face every day. Substantially revised and expanded and written in a plain manner, this New Edition includes 20 brand-new chapters that address the hottest topics in the field today. Will also serve as the syllabus for the Board Review Course of the American Board of Legal Medicine (ABLM). Includes need-to-know information on telemedicine and electronic mail · medical and scientific expert testimony · medical records and disclosure about patients · and liability exposure facing managed care organizations. Addresses the legal aspects of almost every medical topic that impacts health care professionals. Uses actual case studies to illustrate nuances in the law. Discusses current trends in the peer review process · physician-assisted suicide · and managed care organizations. Offers the expert guidance of top professionals across medical and legal fields in an easy to read format. Includes a glossary of medical terms. Features many brand-new chapters, including Patient Safety · Medication Errors · Disclosure of Adverse Outcome and Apologizing to Injured Patient · Liability of Pharmacists · No-Fault Liability· Legal Aspects of Bioterrorism · and Forensic Psychiatry.