Understanding Health Insurance

Preface, Chapter 1 - Health Insurance Specialist'Roles and Responsibilities, Chapter 2 - Introduction to Health Insurance, Chapter 3 - Managed Health Care, Chapter 4 - Life Cycle of an Insurance Claim, Chapter 5 - Legal & Regulatory Considerations, Chapter 6 - ICD-9-CM Coding, Chapter 7 - CPT Coding, Chapter 8 - HCPCS Coding (name change from HCPCS Coding System), Chapter 9 - CMS Reimbursement Issues (name change from HCFA Reimbursement Issues), Chapter 10 - Coding for Medical Necessity (name change from Coding from Source Documents), Chapter 11 - Essential Claims Completion Guidelines (name change from Essential Claim Form Instructions), Chapter 12 - Commercial Claims (name change from Filing Commercial Claims), Chapter 13 - Blue Cross and Blue Shield Plans, Chapter 14 ' Medicare, Chapter 15 ' Medicaid, Chapter 16 ' TRICARE, Chapter 17 - Workers' Compensation, Appendix I - Case Studies: Set One, Appendix II ' Clinic Billing Manual and Case Studies: Set Two, Appendix III - Forms, Appendix IV - Answers to Coding Exercises, Appendix V ' Using the UHI Student Practice CD-ROM, Appendix VI ' Abbreviations, Appendix VII ' Common Medical Terminology Prefixes, Suffixes, and Combining Forms, Appendix VIII ' Web Sites, Appendix IX 'X ' Electronic Data Interchange and the UB-92 (CMS-1450), Appendix X ' Dental Claims ProcessingInsurance, Appendix XI ' Bibliography, Appendix XII - Glossary