cover image - Beik's Health Insurance Today - Elsevier EBook on VitalSource, 8th Edition
ISBN: 9780323934114
Copyright: 2025
Publication Date: 12-19-2023
Page Count: 504
Imprint: Elsevier
List Price: $110.99

Beik's Health Insurance Today - Elsevier EBook on VitalSource, 8th Edition

by Julie Pepper, BS, CMA (AAMA)

Elsevier eBook on VitalSource

cover image - Beik's Health Insurance Today - Elsevier EBook on VitalSource, 8th Edition
ISBN: 9780323934114
Copyright: 2025
Publication Date: 12-19-2023
Page Count: 504
Imprint: Elsevier
List Price: $110.99
Was $110.99

Now $97.67

Or $0.00 with a valid access code

**Selected for Doody’s Core Titles® 2024 in Managed Care**

Master the complexities of health insurance with this easy-to-understand guide! Beik’s Health Insurance Today, 8th 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 companion website. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and cost/value calculators. Making difficult concepts seem anything but, this resource prepares you for a successful career as a health insurance professional.

    • Direct, conversational writing style makes learning insurance and billing concepts easier.
    • Clear and attainable learning objectives, with chapter content that follows the order of the objectives, make learning easier for students and make chapter content easier to teach for educators.
    • Learning features include review questions, scenarios, and additional exercises to ensure comprehension, critical thought, and application to practice.
    • Hands-on practice with a fillable CMS-1500 form and accompanying case studies and unique UB-04 forms on the companion Evolve website, ensure practicum- and job-readiness.
    • HIPAA Tips emphasize the importance of privacy and government rules and regulations, ensuring a solid foundation in regulatory compliance.
    • NEW! Additional content on cybersecurity emphasizes the importance of keeping digital information private and secure
    • NEW! Information on crowdfunding for medical bills discusses how this practice affects billing
    • NEW! Geographic Practice Cost Indexes/Resource Based Relative Value Scale (GPCI/RBPVU) calculators are included
    • NEW! Coverage of COVID-19 explores its impact on billing, reimbursement, and employment
  • UNIT I BUILDING A FOUNDATION
    1. The Origins of Health Insurance
    2. Tools of the Trade: A Career as a Health Insurance Professional
    3. The Legal and Ethical Side of Health Insurance
    4. Healthcare Reform: Coverage Types and Sources
    5. The Patient and the Billing Process

    UNIT II HEALTH INSURANCE BASICS
    6. Reimbursement Models
    7. Understanding Managed Care
    8. Understanding Medicare
    9. Understanding Medicaid
    10. Understanding Military Carriers
    11. Understanding Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

    UNIT III CLAIMS SUBMISSION
    12. Claim Submission Methods
    13. Diagnostic Coding
    14. Procedural, Evaluation and Management, and HCPCS Coding
    15. Claims Management

    UNIT IV ADVANCED APPLICATION
    16. The Role of Computers in Health Insurance
    17. Reimbursement Procedures: Getting Paid
    18. Hospital Billing and the UB-04
  • Julie Pepper, BS, CMA (AAMA), Professor Emeritus, Medical Assistant Program, Chippewa Valley Technical College, Eau Claire, Wisconsin, USA
    • Ways of Reading
      • The appearance of the text and page layout can be modified according to the capabilities of the reading system (font family and font size, spaces between paragraphs, sentences, words, and letters, as well as color of background and text)
      • This e-publication is accessible to the full extent that the file format and types of content allow, on a specific reading device, by default, without necessarily including any additions such as textual descriptions of images or enhanced navigation
      • No information about nonvisual reading is available
    • Conformance
    • Navigation
      • Table of contents to all chapters of the text via links
    • Rich Content
      • No information is available
    • Hazards
      • No information is available
    • Product Content
      • No information is available
    • Legal Considerations
      • No information is available
    • Additional Accessibility Information
      • For readers with color vision deficiency, use of color (e.g., in diagrams, graphics and charts, in prompts, or on buttons inviting a response) is not the sole means of graphical distinction or of conveying information
      • E-publication includes basic navigation (usually less detailed than TOC-based navigation)
      • Where links, controls or buttons are included in the content, the purpose or functionality of each link, control or button is apparent from the associated text alone - or where it is unclear, separate link, control or button descriptions are provided
      • All (or substantially all) textual matter is arranged in a single logical reading order (including text that is visually presented as separate from the main text flow, e.g., in boxouts, captions, tables, footnotes, endnotes, citations, etc.). Non-textual content is also linked from within this logical reading order. (Purely decorative non-text content can be ignored).
      • The language of the text has been specified (e.g., via the HTML or XML lang attribute) to optimise text-to-speech (and other alternative renderings), both at the whole document level and, where appropriate, for individual words, phrases or passages in a different language.
Was $110.99

Now $97.67

Or $0.00 with a valid access code