Full Description
Corresponding to the chapters in Beik's Health Insurance Today, 8th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and case studies challenge you to apply your knowledge to real-world situations. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and more.
In-class projects and discussion topics enhance understanding of specific content from the text.
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.
Problem-solving and collaborative (group) activities emphasize the importance of teamwork in the healthcare field.
Case studies ask students 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.
Critical thinking activities strengthen students' abilities to apply health insurance concepts to a variety of challenging situations.
Chapter assessments test students' knowledge with multiple-choice, true/false, short-answer, fill-in-the-blank, and matching questions.
Application exercises challenge students to apply their knowledge and skills to real-world situations.
Internet Exploration exercises in each chapter help students learn how to perform and evaluate research online.
Defining Chapter Terms activities prompt students to review and understand the key terms in each chapter.
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! Interactive VST eBook provides a seamless digital experience
NEW! Coverage of COVID-19 explores its impact on billing, reimbursement, and employment
Contents
UNIT ONE. BUILDING A FOUNDATION
1. The Origins of Health Insurance
2. Tools of the Trade. A Career as a Health Insurance (Medical) 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 TWO. 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 THREE. CLAIMS SUBMISSION
12. Claim Submission Methods
13. Diagnostic Coding
14. Procedural, Evaluation and Management, and HCPCS Coding
15. Claims Management
UNIT FOUR. ADVANCED APPLICATION
16. The Role of Computers in Health Insurance
17. Reimbursement Procedures. Getting Paid
18. Hospital Billing and the UB-04
Appendix. Blank Forms
