Understanding Health Insurance: A Guide to Billing and Reimbursement, 13th Edition
This textbook was used in version 1 of the CCO PBB course.
Version 2 of the course was released on 10/25/16 and now uses the textbook published by the AAPC.
This textbook is an excellent book and we still highly reccomend it and if your budget allows we reccomend getting both.
This comprehensive, easy-to-understand, updated book presents the latest code sets and guidelines. You cover today's 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.
- UPDATES REFLECT THE LATEST CODING: ICD-10-CM codes have been updated throughout this edition, while ICD-9-CM is presented as a legacy classification system.
- NEW FEATURES ENCOURAGE INTERACTIVE LEARNING: Dynamic hands-on coding cases and quizzing, available in MindTap® and within the book's wealth of online resources, facilitate a practical understanding of concepts and mastery of skills.
- REAL FORMS AND PRACTICE SOFTWARE GUIDE STUDENTS THROUGH CLAIMS COMPLETION: CMS-1500 standardized forms appear throughout this edition, giving students hands-on practice with manual insurance claims.