| Contents |
1. Health Insurance Specialist Career -- 2. Introduction to Health Insurance and Managed Care -- 3. Introduction to Revenue Management -- 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collections -- 5. Legal Aspects of Health Insurance and Reimbursement -- 6. ICD-10-CM Coding 163 -- 7. CPT Coding -- 8. HCPCS Level II Coding -- 9. CMS Reimbursement Methodologies -- 10. Coding Compliance Programs, Clinical Documentation Improvement, and Coding for Medical Necessity -- 11. CMS-1500 and UB-04 Claims -- 12. Commercial Insurance -- 13. BlueCross BlueShield -- 14. Medicare -- 15. Medicaid -- 16. TRICARE -- 17. Workers' Compensation -- Appendices -- Bibliography -- Glossary -- Index. |
| Abstract |
Updated annually to incorporate the latest developments in the field, Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2024 Edition, offers a comprehensive introduction to the most current medical code sets, coding guidelines, instructions for health plan claims and revenue management concepts. It equips readers for successful careers in revenue management, medical billing or insurance processing. |
| General note | Previous edition: 2019. |
| Bibliography note | Includes bibliographical references and index. |
