Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Edition

Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT,2023 Edition is a comprehensive resource that provides a practical, up-to-date guide to current medical code sets and coding guidelines, preparing you to assign ICD-10-CM, CPT, and HCPCS Level II 2023 codes, complete health insurance claims, and master key revenue management concepts. It also introduces the MIPS Value Pathways, explains major changes for selecting codes in the CPT 2023 evaluation and management section, and clarifies key health insurance concepts such as risk adjustments, hierarchical condition category coding, patient portals, balance billing, coordination of benefits, third-party administrators, Medicare appeals process, and whistleblowers.

Format: Paperback / softback
Length: 704 pages
Publication date: 17 January 2023
Publisher: Cengage Learning, Inc

Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT,2023 Edition is a comprehensive resource that empowers individuals to enhance their skills and establish a strong foundation for professional success. This reader-friendly guide provides a practical and up-to-date understanding of current medical code sets and coding guidelines, enabling individuals to assign ICD-10-CM, CPT, and HCPCS Level II 2023 codes with confidence. It also prepares individuals to complete health insurance claims accurately and efficiently, as well as master key revenue management concepts.

The book delves into essential topics such as managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. The current edition introduces the MIPS Value Pathways, explains significant changes in the CPT 2023 evaluation and management section, and clarifies key health insurance concepts such as risk adjustments, hierarchical condition category coding, patient portals, balance billing, coordination of benefits, third-party administrators, Medicare appeals process, and whistleblowers.

In addition to the comprehensive text, a helpful workbook offers hands-on assignments and case studies, while MindTap online resources provide interactive practice in completing CMS-1500 claims and assigning codes. By utilizing this resource, individuals can deepen their knowledge of health insurance billing and reimbursement, improve their coding proficiency, and enhance their career prospects in the healthcare industry.

Weight: 1388g
Dimension: 276 x 218 x 31 (mm)
ISBN-13: 9780357764060
Edition number: 18 ed