An engaging, conversational writing style makes difficult concepts easier to grasp. Discussion questions and in-class activities presented throughout each chapter ease learning by breaking material into more manageable segments and reinforcing key points. Compliance tips alert you to important federal and state regulations. Real-world examples present complex concepts in a realistic, practice-based context similar to what you'll encounter on the job. Review and application exercises, including real-world case studies, critical thinking exercises, role-playing exercises, and collaborative learning activities, help you assess your knowledge and understand how to apply what you've learned to practice. Key term definitions and learning objectives streamline the learning process and familiarize you with important terminology and concepts. A companion CD reinforces your understanding and guides you interactively through the completion of insurance claims. An Evolve Resources website links you to additional information for further study and review. Updated claim form information familiarizes you with the current CMS-1500 (08-05) claim form for the most accurate billing and coding. - 54.00

Chapter Assessments test your knowledge of textbook content through multiple choice, true/false, short answer, and fill-in-the-blank questions. Over 60 realistic Case Studies prepare you for common scenarios you'll encounter in practice. Critical Thinking Activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Group Problem Solving Activities emphasize the importance of teamwork in the health care field. In-class projects and discussion topics help you enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter introduce you to valuable health insurance resources available online. Performance Objectives provide hands-on, application-based practice working with common tasks and forms. Performance Evaluation charts in every chapter enable you to assess your progress and identify areas requiring additional study and review. A companion CD simulates the health insurance billing process and familiarizes you with claim forms. - 54.68

Procedural (CPT and HCPCS) and diagnostic (ICD-9-CM) coding and documentation are emphasized, since they are the keystones to obtaining maximum reimbursement. Key terms are bolded at first mention, explained within the context of the discussion, and defined in the glossary. Separate chapters on Electronic Data Interchange and HIPAA Compliance and Privacy in Insurance Billing provide essential knowledge of electronic claims filing, informing you of submission guidelines used in the majority of medical offices today. Icons clearly identify each insurance payer with a specific color and graphic, making specific information easy to locate. Compliance features located at appropriate points throughout most chapters offer tips to ensure compliance with correct billing and coding practice, particularly HIPAA and OIG. A separate chapter on documentation in the medical office describes how proper documentation can prevent penalties and refund requests, and help you prove compliance in the case of an audit or review. Detailed examples and samples of completed insurance forms show you how to apply knowledge in the real world. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist's role in filing clean claims, solving problems that do occur, and collecting overdue payments. Service to Patient feat... - 2.38

Meticulously reviewed by a panel of industry experts. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist's role in filing clean claims, solving problems, and collecting overdue payments. Key terms are bolded at first mention, explained within the context of the discussion, and defined in the glossary. Key points summarize important chapter content. Block-by-block explanations and examples demonstrate the correct way to complete the CMS-1500 claim form. Completed sample insurance forms apply concepts to real life. Unique payer icons clarify CMS claim form completion. Form icons and Computer icons ease the transition from paper to electronic filing. Special HIPAA Alerts ensure compliance with governmental privacy regulations. Guidelines for the filing and submission of electronic claims include the do's and don'ts for the electronic environment. Service to Patient features discuss ways to provide quality service to the patient as well as to your co-workers. A documentation chapter covers the principles of documentation and shows how proper documentation can prevent penalties and refund requests, and help you prove compliance in the case of an audit or review. An Evolve website includes supplemental Medisoft activities, self-assessment quizzes, updates of content, and web links for further research and study. A workbook contains learning tips, review exercis... - 41.99

Online Student Software Challenge contains 10 patient cases that you can use to complete the CMS-1500 claim form. Self-study review exercises include matching, true/false, multiple-choice, and fill-in-the-blank questions to help you remember important material. Critical-thinking assignments help you apply theory to practice, using short, real-world scenarios to prepare you for working in today's medical office. Key Terms and Key Abbreviations provide a quick reference to the insurance terminology you need to know. A study outline and performance objectives focus your review and ensure that you meet expected outcomes. Evolve resources include Student Software Challenge, online activities, and web links for further research and study. Learning objectives are reorganized to more closely follow the material in the textbook and the workbook, making it easier to study. New CMS-1500 software helps you complete exercises and practice skills quickly and easily. - 14.62

For upper level undergraduate/graduate courses in Principles of Insurance and Risk Management. This text focuses on problem-solving from managerial, consumer, and societal perspectives. It emphasizes both the business managerial aspects of risk management and insurance and the numerous consumer applications of the concept of risk management and insurance transaction. - 93.10

For upper level undergraduate/graduate courses in Principles of Insurance and Risk Management. Drawing from the author's 35-plus years of teaching experience, this book introduces students to basic insurance concepts from the consumer's point of view and equips them with the tools to make intelligent, informed insurance purchasing decisions. - 97.00

For undergraduate courses in Risk Management and Insurance. Complete and current coverage of major risk management and insurance topics. Principles of Risk Management and Insurance is the market-leading text for this course, ideal for undergraduate courses and students from a mix of academic majors. Focusing primarily on the consumers of insurance, this text blends basic risk management and insurance principles with consumer considerations. This edition addresses the unprecedented events that have occurred in today's economy, highlighting the destructive presence of risk to students. - 93.10

This classic book presents a thorough and comprehensive introduction to the field of insurance while emphasizing the consumer. The new Tenth Edition first examines the concept of risk, the nature of the insurance device, and the principles of risk management. It then discusses the traditional fields of life and health insurance as solutions to the risks connected with the loss of income. And it deals with the risks associated with the ownership of property and legal liability. - 99.50

Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide students with the most essential and up-to-date knowledge on billing and reimbursement. With Understanding Health Insurance, Tenth Edition, students will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. Exercises in each chapter provide plenty of practice for learning how to bill and reimburse, and the accompanying workbook provides more application-based assignments for each chapter, as well as additional case studies to reinforce knowledge. The text includes free software that allows students to test their knowledge. - 47.49