Health Insurance Handbook

How to Make It Work

Author: Hong Wang,Kimberly Switlick,Christine Ortiz,Beatriz Zurita,Catherine Connor

Publisher: World Bank Publications

ISBN: 082138953X

Category: Business & Economics

Page: 136

View: 6417

Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve access to health services, as well to provide financial risk protection.

Insurance Handbook for the Medical Office

Author: Marilyn Fordney

Publisher: Elsevier Health Sciences

ISBN: 1455733253

Category: Medical

Page: 656

View: 5131

A complete guide to insurance billing and coding, Insurance Handbook for the Medical Office, 13th Edition covers all the plans that are most commonly encountered in clinics and physicians' offices. Its emphasis on the role of the medical insurance specialist includes areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. Learning to fill in the claim form accurately is made easier by the use of icons for different types of payers, lists of key abbreviations, and numerous practice exercises. This edition provides the latest on hot topics such as ICD-10, healthcare reform, the new CMS-1500 form, and electronic claims. Trusted for more than 30 years, this proven reference from Marilyn Fordney prepares you to succeed as a medical insurance professional in any outpatient setting. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments.Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology.Detailed tables, boxes, and illustrations call out key points and main ideas.Unique! Color-coded icons clarify information, rules, and regulations for different payers.An Evolve companion website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in.A workbook contains learning tips, practice exercises for key terms and abbreviations, review questions, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately. Updated coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013.Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date.Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form.Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office.

The Complete Small Group Health Insurance Handbook

Author: William Y. Wilson

Publisher: Essentialbooks

ISBN: 9780963190543

Category: Business & Economics

Page: 199

View: 3546

Small group health insurance is America's most popular, confusing, & expensive employee benefit. Now there's a book that explains small group so anyone can understand it. The Small Group Handbook is the first & only comprehensive guide on this critical subject. It contains plain-English explanations, practical advice, definitions, & action checklists in a user-friendly Q&A format. Small Business owners will value this essential reference book as a "bookshelf benefits manager" vital to their companies. Essentialbooks Publishing Company, P.O. Box 109057, Chicago, IL 60610.

Handbook of Health Economics

Author: Anthony J. Culyer,Joseph P. Newhouse

Publisher: Elsevier

ISBN: 9780444504715

Category: Business & Economics

Page: 1996

View: 6541

As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics.

Handbook of Health Economics

Author: Mark V. Pauly,Thomas G. McGuire,Pedro Pita Barros

Publisher: Elsevier

ISBN: 0444535926

Category: Business & Economics

Page: 1126

View: 2871

What new theories, evidence, and policies have shaped health economics in the 21st century? Editors Mark Pauly, Thomas McGuire, and Pedro Pita Barros assemble the expertise of leading authorities in this survey of substantive issues. In 16 chapters they cover recent developments in health economics, from medical spending growth to the demand for health care, the markets for pharmaceutical products, the medical workforce, and equity in health and health care. Its global perspective, including an emphasis on low and middle-income countries, will result in the same high citations that made Volume 1 (2000) a foundational text. Presents coherent summaries of major subjects and methodologies, marking important advances and revisions. Serves as a frequently used non-journal reference. Introduces non-economists to the best research in health economics.

The Life Insurance Handbook

Author: Louis S. Shuntich

Publisher: Marketplace Books

ISBN: 9781592800575

Category: Business & Economics

Page: 100

View: 6963

Term life insurance. Whole life. Variable and Universal life insurance. The list of choices for insurance products continues to grow - along with the different uses and tax implications associated with each. Despite the dizzying pace of change in the industry, every financial professional must understand the different types of insurance available - and the considerations for purchasing them.-------------------------------------------------------------------------------Now - the Society of Financial Professionals teams up with tax and estate planning expert Lou Shuntich to bring you a practical new reference guide that is both compact and comprehensive. Concise and to-the-point, this handbook provides the latest industry information on: . The legal aspects of acquiring and owning a policy. The types of products and contracts available. Simple criteria for evaluating and comparing policies and insurance companies. The tax implications of each product type. Structuring policies, ownership arrangements and beneficiaries for maximum tax and legal benefits - and tips for avoiding traps and pitfalls in the processWhile not an exhaustive account of the industry - it's an excellent primer that covers the key concepts necessary when advising clients or analyzing portfolios and estates. And in keeping with the Society of Financial Professionals' steadfast commitment to providing continuing education to the industry, The Life Insurance Handbook is the perfect learning tool for keeping busy financial professionals and their clients up-to-date

Insurance Handbook for the Medical Office

Author: Marilyn Fordney

Publisher: Elsevier Health Sciences

ISBN: 032331628X

Category:

Page: 656

View: 2492

Stay up on the latest in insurance billing and coding with Marilyn Fordney s Insurance Handbook for the Medical Office, 14th Edition.Trusted for more than 30 years, this market-leading handbook equips you to succeed as medical insurance specialist in any of today s outpatient settings. Coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that assist you in accurately filling out claim forms. This new edition also features expanded coverage of ICD-10, electronic medical records, electronic claims submission, and the HIPAA 5010 keeping you one step ahead of the latest practices and protocols of the profession.Key terms are defined and emphasized throughout the text to reinforce understanding of new concepts and terminology.Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout the text highlights important HIPAA compliance issues to ensure readers are compliant with the latest regulations. Emphasis on the business of running a medical office and the importance of the medical insurance specialist details the importance of the medical insurance specialist in the business of the medical office.Increased focus on electronic filing/claims submission prepares readers for the industry-wide transition to electronic claims submission.Separate chapter on documentation in the medical office covers the principles of medical documentation and the rationales for it."Service to Patient" features in most chapters offer examples of good customer service.User resources on the Evolve companion website feature performance checklists, self-assessment quizzes, the Student Software Challenge (with cases on different payer types and an interactive CMS-1500 (02-12) form to fill in). NEW! Expanded coverage of ICD-10 prepares users to code ICD-10 with the planned effective date of October 2015.NEW! Added information on the electronic medical record and electronic claims submission including information on the HIPAA 5010 equips users for the transition between paper and electronic methods of medical records and links the CMS-1500 (02-12) form to the electronic submissions process.NEW! SimChart for the Medical Office (SCMO) application activities on the companion Evolve website adds additional functionality to the insurance module on the SCMO roadmap."

Handbook of Mental Health Administration and Management

Author: William H. Reid,Stuart B. Silver

Publisher: Routledge

ISBN: 1134941013

Category: Psychology

Page: 568

View: 4205

Clinicians who understand mental health care administration in addition to their clinical fields are likely to be valuable to the organizations in which they work. This handbook is an accessible source of information for professionals coming from either clinical or management backgrounds. Sections offer coverage in: mental health administrative principles, mental health care management, business, finance and funding of care, information technology, human resources and legal issues.

The Oxford Handbook of Health Economics

Author: Sherry Glied,Peter C. Smith

Publisher: OUP Oxford

ISBN: 0191667161

Category: Business & Economics

Page: 992

View: 8076

The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline. Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.

Insurance Handbook for the Medical Office

Author: Marilyn Fordney

Publisher: Elsevier Health Sciences

ISBN: 0323316328

Category: Medical

Page: 656

View: 3427

Stay up on the latest in insurance billing and coding with Marilyn Fordney’s Insurance Handbook for the Medical Office, 14th Edition. Trusted for more than 30 years, this market-leading handbook equips you to succeed as medical insurance specialist in any of today’s outpatient settings. Coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that assist you in accurately filling out claim forms. This new edition also features expanded coverage of ICD-10, electronic medical records, electronic claims submission, and the HIPAA 5010 — keeping you one step ahead of the latest practices and protocols of the profession. Key terms are defined and emphasized throughout the text to reinforce understanding of new concepts and terminology. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout the text highlights important HIPAA compliance issues to ensure readers are compliant with the latest regulations. Emphasis on the business of running a medical office and the importance of the medical insurance specialist details the importance of the medical insurance specialist in the business of the medical office. Increased focus on electronic filing/claims submission prepares readers for the industry-wide transition to electronic claims submission. Separate chapter on documentation in the medical office covers the principles of medical documentation and the rationales for it. Service to Patient features in most chapters offer examples of good customer service. User resources on the Evolve companion website feature performance checklists, self-assessment quizzes, the Student Software Challenge (with cases on different payer types and an interactive CMS-1500 (02-12) form to fill in). NEW! Expanded coverage of ICD-10 prepares users to code ICD-10 with the planned effective date of October 2015. NEW! Added information on the electronic medical record and electronic claims submission — including information on the HIPAA 5010 — equips users for the transition between paper and electronic methods of medical records and links the CMS-1500 (02-12) form to the electronic submissions process. NEW! SimChart for the Medical Office (SCMO) application activities on the companion Evolve website adds additional functionality to the insurance module on the SCMO roadmap.

Handbook of Micro Health Insurance in Africa

Author: Gerald Leppert

Publisher: LIT Verlag Münster

ISBN: 3643901712

Category: Medical

Page: 457

View: 6331

Micro health insurance is an emerging concept to reduce poverty and social exclusion and improve health care access. The Handbook of Micro Health Insurance in Africa gives an overview of the challenges and needs in the field of micro health insurance. Focusing on Sub-Saharan Africa, where universal social health protection still has a way to go, the Handbook provides an introduction to the relatively new and promising approach of micro insurance as a risk management tool for low-income households, between the market, self-help, and the state. This book is an output of the project Pro MHI Africa, which is funded by the European Union and directed by the University of Cologne in cooperation with the University of Botswana, the University of Ghana, and the University of Malawi. (Series: Social Protection in Health. Challenges, Needs and Solutions in International Health Care Financing - Vol. 1)

The Health Care Manager's Human Resources Handbook

Author: Charles R. McConnell

Publisher: Jones & Bartlett Publishers

ISBN: 1449657397

Category: Business & Economics

Page: 419

View: 1484

McConnell provides a resource for healthcare department managers who must relate to and work with their HR departments and manage their personnel. He explores strategies to gain the most value out of an organization's HR department.

Financial Planning Competency Handbook

Author: CFP Board

Publisher: John Wiley & Sons

ISBN: 1119094666

Category: Business & Economics

Page: 944

View: 2866

The official guide for exam success and career excellence Financial Planning Competency Handbook, Second Edition is the essential reference for those at any stage of certification and a one–stop resource for practitioners looking to better serve their clients. This fully updated second edition includes brand new content on connections diagrams, new case studies, and new instructional videos, and a completely new section devoted to the interdisciplinary nature of financial planning. You′ll gain insights from diverse fields like psychology, behavioral finance, communication, and marriage and family therapy to help you better connect with and guide your clients, alongside the detailed financial knowledge you need to perform to the highest expectations as a financial planner. This book contains over ninety chapters that are essential for practitioners, students, and faculty. Whether a practitioner, student, or faculty member, this guide is the invaluable reference you need at your fingertips. Comprehensive, clear, and detailed, this handbook forms the foundation of the smart financial planner′s library. Each jurisdiction has its own laws and regulations surrounding financial planning, but the information in this book represents the core body of knowledge the profession demands no matter where you practice. Financial Planning Competency Handbook, Second Edition guides you from student to practitioner and far beyond, with the information you need when you need it.

Beating Obamacare 2014

Avoid the Landmines and Protect Your Health, Income, and Freedom

Author: Betsy McCaughey

Publisher: Simon and Schuster

ISBN: 1621572455

Category: Political Science

Page: 240

View: 1583

What Obamacare disaster will hit next? The website launch was a fiasco, millions of Americans' insurance has already been cancelled, the exchanges are still not working, and the enrollment numbers are abysmal. Betsy McCaughey uncovers the next disasters Obamacare is about to spring on an unsuspecting public, and shows you how to protect yourself. Did you know? The government predicts that Obamacare will cause millions to lose the health plans they get at work You can avoid the penalty for not having insurance Even children are subject to penalties for being uninsured The IRS official who targeted conservative groups has been promoted to top dog in charge of your health insurance The federal government recommends if you want medical privacy, pay cash Section 3000A of the health law awards bonus points to hospitals that spend the least per senior You should be careful about giving your address, tax information, and social security number to a "navigator." Most haven't been background checked, and even HHS Secretary Sebelius admits some could be felons Patient advocate Dr. Betsy McCaughey expertly dissects the 2,572-page health law, the thousands of pages of Obamacare regulations, and the cascade of “waivers” to the law in 2013, and lays out how all these will affect your family's health and finances, your relationship with your doctor, and even your tax bill—breaking it down into manageable chunks and explaining everything in plain English. Don't be blindsided by the myriad new rules, regulations, and taxes that are coming down the pike. Begin today to understand what the Obama health law means for you, and prepare for it.

The Oxford Handbook of U.S. Healthcare Law

Author: I. Glenn Cohen

Publisher: Oxford University Press

ISBN: 0199366527

Category: Medical care

Page: 1216

View: 1367

The Oxford Handbook of U.S. Health Law covers the breadth and depth of health law, with contributions from the most eminent scholars in the field. The Handbook paints with broad thematic strokes the major features of American healthcare law and policy, its recent reforms including the Affordable Care Act, its relationship to medical ethics and constitutional principles, and how it compares to the experience of other countries. It explores the legal framework for the patient experience, from access through treatment, to recourse (if treatment fails), and examines emerging issues involving healthcare information, the changing nature of healthcare regulation, immigration, globalization, aging, and the social determinants of health. This Handbook provides valuable content, accessible to readers new to the subject, as well as to those who write, teach, practice, or make policy in health law.

Routledge Handbook of Genomics, Health and Society

Author: Sahra Gibbon,Barbara Prainsack,Stephen Hilgartner,Janelle Lamoreaux

Publisher: Routledge

ISBN: 1315451670

Category: Science

Page: 316

View: 6052

The Handbook provides an essential resource at the interface of Genomics, Health and Society, and forms a crucial research tool for both new students and established scholars across biomedicine and social sciences. Building from and extending the first Routledge Handbook of Genetics and Society, the book offers a comprehensive introduction to pivotal themes within the field, an overview of the current state of the art knowledge on genomics, science and society, and an outline of emerging areas of research. Key themes addressed include the way genomic based DNA technologies have become incorporated into diverse arenas of clinical practice and research whilst also extending beyond the clinic; the role of genomics in contemporary ‘bioeconomies’; how challenges in the governance of medical genomics can both reconfigure and stabilise regulatory processes and jurisdictional boundaries; how questions of diversity and justice are situated across different national and transnational terrains of genomic research; and how genomics informs – and is shaped by – developments in fields such as epigenetics, synthetic biology, stem cell, microbial and animal model research. Presenting cutting edge research from leading social science scholars, the Handbook provides a unique and important contribution to the field. It brings a rich and varied cross disciplinary social science perspective that engages with both the history and contemporary context of genomics and ‘post-genomics’, and considers the now global and transnational terrain in which these developments are unfolding.

Managed Care: What It Is and How It Works

Author: Peter R. Kongstvedt

Publisher: Jones & Bartlett Publishers

ISBN: 0763788678

Category: Medical

Page: 275

View: 5339

The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.