Corresponding to the chapters in Beiks 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.
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 has spent her entire career in health care as a medical assistant in a variety of offices and clinics, developing expertise in the electronic health record and as an instructor in a medical assistant program. She combines her education in dietetics with her clinical and administrative experience as an instructor in the Medical Assisting program at Chippewa Valley Technical College in Wisconsin, where she taught for 21 years and from where she retired from teaching. Julie was also the program director for the college's Health Navigator program. She has served as a reviewer and contributor to numerous Medical Assisting educational products over the last decade, including Sim Chart for the Medical Office. She currently serves as the sole author of The Electronic Health Record for the Physician's Office and The Simulated Administrative Medical Office. She has been leading author of Beik's Health Insurance Today text and workbook since the 8th edition. She also has been a coauthor for Kinn's Medical Assisting Fundamentals, Kinn's The Medical Assistant, and Today's Medical Assistant. Julie strives to bring the needed information to students in a way to keep them interested in learning all that they need to be wonderful employees working in healthcare.
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