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Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Web Site 2 terms (12 months) Printed Access Card and Cengage EncoderPro.com Demo Printed Access Card)

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Discover the essential tool to prepare for a career in medical insurance billing -- UNDERSTANDING HEALTH INSURANCE 13E. This comprehensive easy-to-understand updated book presents the latest code sets and guidelines. You cover todays most important topics such as managed care legal and regulatory issues coding systems reimbursement methods medical necessity and common health insurance plans. Updates introduce new legislation that impacts health care including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; case mix management; hospital-acquired conditions; present on admission; and value-based purchasing. Practice exercises and the workbook (available separately) provides application-based assignments and case studies to reinforce your understanding as well as CMRS CPC-P and CPB Mock Exams. New editions include online access to SimClaim CMS-1500 claims completion software and Optums EncoderPro.com Expert.