Workbook for Health Insurance Today - Elsevier eBook on VitalSource, 8th Edition

Performance-based activities include hands-on, application-based learning exercises that provide practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Chapter assessments test your knowledge with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Problem-solving and collaborative (group) activities emphasize the importance of teamwork in the healthcare field. Case studies ask you to solve real-world problems related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Application exercises ask you to apply your knowledge and skills to real-world situations. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform and evaluate research online. Defining Chapter Terms activities help you review and understand the key terms in each chapter.

UNIT ONE: BUILDING A FOUNDATION
Chapter 1: The Origins of Health Insurance
Chapter 2: Tools of the Trade: A Career as a Health Insurance (Medical) Professional
Chapter 3: The Legal and Ethical Side of Health Insurance
Chapter 4: Healthcare Reform: Coverage Types and Sources
Chapter 5: The Patient and the Billing Process
UNIT TWO: HEALTH INSURANCE BASICS
Chapter 6: Reimbursement Models
Chapter 7: Understanding Managed Care
Chapter 8: Understanding Medicare
Chapter 9: Understanding Medicaid
Chapter 10: Understanding Military Carriers
Chapter 11: Understanding Miscellaneous Carriers: Workers’ Compensation and Disability Insurance
UNIT THREE: CLAIMS SUBMISSION
Chapter 12: Claim Submission Methods
Chapter 13: Diagnostic Coding
Chapter 14: Procedural, Evaluation and Management, and HCPCS Coding
Chapter 15: Claims Management
UNIT FOUR: ADVANCED APPLICATION
Chapter 16: The Role of Computers in Health Insurance
Chapter 17: Reimbursement Procedures: Getting Paid
Chapter 18: Hospital Billing and the UB-04
Appendix: Blank Forms

Julie Pepper, BS, CMA (AAMA), Medical Assisting Program Instructor, Health Navigator Program Director, Chippewa Valley Technical College, Eau Claire, Wisconsin