Tag: Health Insurance

By waltspeaks.com

Insurance: Concepts & Coverage: Property, Liability, Life, Health and Risk Management

RISK IS UNCERTAINTY AS TO LOSS…
RISK IS OMNIPRESENT AND ALL PERVASIVE…
INSURANCE PROTECTS AGAINST THE ECONOMIC LOSS CAUSED BY RISK
This book provides an actionable approach to the functions of the insurance industry in an easy to use examination of property, liability, life and health insurance coverages plus information on the basics of a risk management program.

Publisher ‏ : ‎ FriesenPress (October 25, 2012)
Language ‏ : ‎ English
Paperback ‏ : ‎ 96 pages
ISBN-10 ‏ : ‎ 1770978836
ISBN-13 ‏ : ‎ 978-1770978836
Item Weight ‏ : ‎ 5.3 ounces
Dimensions ‏ : ‎ 6 x 0.23 x 9 inches

By waltspeaks.com

Health Insurance Today

Master the complexities of health insurance with this easy-to-understand guide! Health Insurance Today: A Practical Approach, 7th Edition provides a solid foundation in basics such as the types and sources of health insurance, the submission of claims, and the ethical and legal issues surrounding insurance. It follows the claims process from billing and coding to reimbursement procedures, with realistic practice on the Evolve website. This edition adds coverage of the latest advances and issues in health insurance, including EHRs, Medicare, and other types of carriers. Written by Medical Assisting educators Janet Beik and Julie Pepper, this resource prepares you for a successful career as a health insurance professional.

What Did You Learn? review questions, Imagine This! scenarios, and Stop and Think exercises ensure that you understand the material, can apply it to real-life situations, and develop critical thinking skills.Clear, attainable learning objectives highlight the most important information in each chapter.CMS-1500 software with case studies on the Evolve companion website provides hands-on practice with filling in a CMS-1500 form electronically.UNIQUE! UB-04 software with case studies on Evolve provides hands-on practice with filling in UB-04 forms electronically.UNIQUE! SimChart® for the Medical Office (SCMO) cases on Evolve give you real-world practice in an EHR environment.HIPAA Tips emphasize the importance of privacy and of following government rules and regulations. Direct, conversational writing style makes it easier to learn and remember the material.End-of-chapter summaries relate to the chapter-opening learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review.Chapter review questions on Evolve help you assess your comprehension of key conceptsNEW and UNIQUE! Patient’s Point of View boxes enable you to imagine yourself on the other side of the desk. NEW and UNIQUE! Opening and closing chapter scenarios present on-the-job challenges that must be resolved using critical thinking skills.NEW! End-of-chapter review questions ensure that you can understand and apply the material.NEW! Clear explanations show how electronic technology is used in patient verification, electronic claims, and claims follow-up.NEW! Coverage of the Affordable Care Act introduces new and innovative ways that modifications to the ACA allow people to acquire healthcare coverage.NEW! Updated information addresses all health insurance topics, including key topics like Medicare and Electronic Health Records.NEW! More emphasis on electronic claims submission has been added.NEW! Updated figures, graphs, and tables summarize the latest health insurance information.

ASIN ‏ : ‎ 032365553X
Publisher ‏ : ‎ Saunders; 7th edition (January 1, 2020)
Language ‏ : ‎ English
Paperback ‏ : ‎ 520 pages
ISBN-10 ‏ : ‎ 0275973069
ISBN-13 ‏ : ‎ 978-0323655538
Item Weight ‏ : ‎ 2.25 pounds
Dimensions ‏ : ‎ 8 x 0.5 x 10.5 inches

By waltspeaks.com

Navigating Health Insurance (Health Navigation)

Navigating Health Insurance is a practical, balanced guide to understanding health insurance from the perspective of the consumer. The text is a comprehensive yet accessible examination of the strengths and weaknesses of health insurance in the United States. The authors begin with the fundamentals of health insurance including its history and comparison to other forms of insurance. Readers are then introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others. The impacts of the Affordable Care Act on health insurance are explored as well as essential services and coverage decisions, payment mechanisms, claims and reimbursement, worker’s compensation, long term care, and more. Readers are challenged to consider market and social justice philosophies such as the impact of health insurance on access to health care services, international comparisons, and advantages and disadvantages of the U.S. system. This text is part of the Jones & Bartlett Learning Health Navigation series. Learn more at www.healthnavigationseries.com.

Publisher ‏ : ‎ Jones & Bartlett Learning; Pap/Psc edition (March 10, 2017)
Language ‏ : ‎ English
Paperback ‏ : ‎ 204 pages
ISBN-10 ‏ : ‎ 1284113124
ISBN-13 ‏ : ‎ 978-1284113129
Item Weight ‏ : ‎ 11 ounces
Dimensions ‏ : ‎ 7 x 0.4 x 9.9 inches

By waltspeaks.com

Florida Life and Health Insurance License Exam Prep: Updated Yearly Study Guide Includes State Law Supplement and 3 Complete Practice Tests

Have you decided to obtain a Health & Life license in Florida?

The state exam won’t be easy, and passing the first time can be challenging.

That’s why choosing the proper study materials to supplement your pre-licensing becomes paramount.

Updated for 2023 (Dec. 2022), you’ll learn:

– The Health & Life (including Annuities & Variable Contracts) concepts found on the exam

– The Florida State Laws relevant to Life, Health, and all lines of Insurance

The study guide includes:

– 3 complete practice exams (495 questions) with fully explained answers

– Practice exam answers include the page number(s) to the related content

Buy with Confidence.

This highly-rated study guide has helped many Floridians launch successful careers in the insurance field.

We take our reviews seriously, especially the 1-star reviews! As an ongoing quality improvement initiative, we incorporate your feedback into each annual update.

Are you ready to pass on the first try? Get it now.

* Also available: Florida Property and Casualty Insurance License Exam Prep

** Formerly published as (2020 Edition) Florida Life, Accident and Health Insurance License Exam Study Guide with 3 Complete Practice Exams: General Lines – Life, Accident, Health and Annuities under ISBN 978-1655346743

ASIN ‏ : ‎ B08ZQ9YQ4F
Publisher ‏ : ‎ Independently published (March 18, 2021)
Language ‏ : ‎ English
Paperback ‏ : ‎ 333 pages
ISBN-13 ‏ : ‎ 979-8723744486
Item Weight ‏ : ‎ 0.317 ounces
Dimensions ‏ : ‎ 8.5 x 0.75 x 11 inches

By waltspeaks.com

Health Insurance for Dummies: Understanding Health Insurance and Methods of Staying Healthy while Keeping Fit At Home

Who necessarily requires Medical Insurance?

Everyone, is the obvious answer. Health insurance may aid in defraying the expenses of both modest and big medical challenges, including surgery or treatments for disorders that might be deadly.

Receiving top-notch medical care without having to put too much of a financial burden on oneself is the core purpose of medical insurance. Plans for health insurance give protection against exorbitant medical bills. In addition to many other things, it pays for hospitalization costs, daycare procedures, domestic expenditures, and ambulance fees.

Health Maintenance Organizations (HMOs), Exclusive Provider Organizations (EPOs), and Point-Of-Service (POS) Plans are a few examples of the many forms of health insurance.

In addition to his book, Dr. Hubert Boyd gave recommendations on how to maintain excellent health and physical fitness, both at home and generally.

Don’t miss out on this book!

Scroll up and Buy Now!

ASIN ‏ : ‎ B0BF34MJ1X
Publisher ‏ : ‎ Independently published (September 14, 2022)
Language ‏ : ‎ English
Paperback ‏ : ‎ 40 pages
ISBN-13 ‏ : ‎ 979-8352799093
Item Weight ‏ : ‎ 3.84 ounces
Dimensions ‏ : ‎ 6 x 0.1 x 9 inches

By waltspeaks.com

Understanding Health Insurance: A Guide to Billing and Reimbursement

Prepare for a career in health information management and medical billing and insurance processing with Green’s UNDERSTANDING HEALTH INSURANCE, 14E. This comprehensive, inviting book presents the latest code sets and guidelines. Examine today�s most important 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. Updates introduce new legislation that impacts health care, including changes to the Affordable Care Act (Obamacare); ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Workbook exercises provide application-based assignments and case studies, as well as CMRS, CPC-P, and CPB mock exams.

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This product is included in a Cengage Unlimited subscription

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ASIN ‏ : ‎ 1337554227
Publisher ‏ : ‎ Cengage Learning; 14th edition (January 1, 2018)
Language ‏ : ‎ English
Paperback ‏ : ‎ 736 pages
ISBN-10 ‏ : ‎ 9781337554220
ISBN-13 ‏ : ‎ 978-1337554220
Item Weight ‏ : ‎ 2.8 pounds
Dimensions ‏ : ‎ 8.5 x 1 x 10.75 inches

By waltspeaks.com

An American Sickness: How Healthcare Became Big Business and How You Can Take It Back

A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 

“This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene  

At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system – and offers practical solutions to its myriad problems.

In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast?

Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. 

The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn’t just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

Publisher ‏ : ‎ Penguin Books; Reprint edition (March 13, 2018)
Language ‏ : ‎ English
Paperback ‏ : ‎ 432 pages
ISBN-10 ‏ : ‎ 0143110853
ISBN-13 ‏ : ‎ 978-0143110859
Item Weight ‏ : ‎ 11.2 ounces
Dimensions ‏ : ‎ 5.53 x 1.04 x 8.43 inches

By waltspeaks.com

What Your Doctor Wants You to Know to Crush Medical Debt: A Health System Insider’s 3 Steps to Protect Yourself from America’s #1 Cause of Bankruptcy

Medical bills can bury you in debt for the rest of your life, but it doesn’t have to be that way.

No matter how much you owe, there’s a better way to get rid of your medical debt beyond bankruptcy.

When Dr. Virgie Bright Ellington became a cancer patient, she faced insurmountable medical bills. That’s when she took her insider industry knowledge and put it to work. In Crush Medical Debt, she shares her secrets to help individuals, families, and veterans protect against America’s number one cause of bankruptcy—medical debt. Filled with practical and step-by-step strategies, this guide provides the tools you need to stop spending money you don’t owe and save yourself from becoming a victim of a predatory healthcare system.

You’ll discover:

How to get rid of your medical debt and hospital bills in three simple steps—without going bankrupt.Definitions to help you catch common CPT code and medical bill mistakes.How to effectively communicate with your provider to fix mistakes in your bills or coverage, including COVID-19 and pandemic-related costs.What to do when your private insurance company, Medicaid, or Medicare won’t cover your medical costs.Debt management tips to negotiate a lower bill and set up an interest-free payment plan regardless of your credit score.

Get the healthcare you need while taking care of your financial health at the same time. Fight back against predatory billing practices! Uncover the secrets in Crush Medical Debt to free yourself from a lifetime of bills and save your financial life.

ASIN ‏ : ‎ B09WQ62QW2
Publisher ‏ : ‎ Virgie Bright Ellington (May 19, 2022)
Language ‏ : ‎ English
Paperback ‏ : ‎ 128 pages
ISBN-13 ‏ : ‎ 979-8985300109
Item Weight ‏ : ‎ 5.1 ounces
Dimensions ‏ : ‎ 5 x 0.32 x 8 inches

By waltspeaks.com

Health Insurance and Managed Care: What They Are and How They Work

Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer. The Fifth Edition also offers new or expanded coverage of: • “Moral hazard,” and its application in health insurance and managed care • The ever expanding and evolving payment systems and methodologies used in the U.S. Healthcare System • The role of benefits design along with discussion about medical necessity and its impact on benefits coverage • The impact of limitations on sales, governance and administrative (SG&A) costs and profits • Continued changes in payment mechanisms such as value-based payment under the Medicare Improvement for Patients and Providers Act (MIPPA) • Medicare Part D, the drug benefit and the plans that offer it, as well as the complexities of Medicare Advantage payment plans, Medicaid expansion under ACA, and more.

Publisher ‏ : ‎ Jones & Bartlett Learning; 5th edition (February 28, 2019)
Language ‏ : ‎ English
Paperback ‏ : ‎ 324 pages
ISBN-10 ‏ : ‎ 128415209X
ISBN-13 ‏ : ‎ 978-1284152098
Item Weight ‏ : ‎ 1.25 pounds
Dimensions ‏ : ‎ 7 x 0.9 x 9 inches

By waltspeaks.com

Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Edition (MindTap Course List)

Strengthen your skills and develop a solid foundation for professional success with Green’s UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2023 Edition. This reader-friendly, comprehensive resource 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. You’ll focus on important 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 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. In addition, a helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer interactive practice in completing CMS-1500 claims and assigning codes.

Publisher ‏ : ‎ Cengage Learning; 18th edition (January 17, 2023)
Language ‏ : ‎ English
Paperback ‏ : ‎ 704 pages
ISBN-10 ‏ : ‎ 0357764064
ISBN-13 ‏ : ‎ 978-0357764060
Item Weight ‏ : ‎ 2.95 pounds
Dimensions ‏ : ‎ 8.54 x 1.06 x 10.87 inches