The Complete Idiot's Guide to Managed Health Care PDF Download
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Author: Sophie M. Korczyk
Publisher:
ISBN: 9780028621654
Category : Health & Fitness
Languages : en
Pages : 326
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Book Description
Managed health care is one of the most confusing areas any consumer can deal with. Rules and regulations are constantly changing, providers are always merging and changing their offerings, and paperwork abounds. In easy-to-understand language, this book explains how to understand options, how to get treatment for chronic and long-term illnesses, how to get the most care for the least cost, and more.
Author: Sophie M. Korczyk
Publisher:
ISBN: 9780028621654
Category : Health & Fitness
Languages : en
Pages : 326
Get Book Here
Book Description
Managed health care is one of the most confusing areas any consumer can deal with. Rules and regulations are constantly changing, providers are always merging and changing their offerings, and paperwork abounds. In easy-to-understand language, this book explains how to understand options, how to get treatment for chronic and long-term illnesses, how to get the most care for the least cost, and more.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: Jill Brown
Publisher: Elsevier Health Sciences
ISBN: 0323277012
Category : Medical
Languages : en
Pages : 560
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Book Description
This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Author: Michael A. Morrisey
Publisher: Asociation of University Programs in Health Administration/Health Administration Press
ISBN: 9781640551602
Category : Business & Economics
Languages : en
Pages : 0
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Book Description
History of Health Insurance in the United States -- The Affordable Care Act -- A Summary of Insurance Coverage -- The Demand for Insurance -- Adverse Selection -- Underwriting and Rate Making -- Risk Adjustment -- Moral Hazard and Prices -- Utilization Management -- Managed Care, Selective Contracting, and the Insurance Industry -- Provider Consolidation, Monopsony Power, and the Managed Care Backlash -- Insurance Market Structure, Conduct, and Performance -- Premium Sensitivity and Health Insurance -- Compensating Differentials -- Taxes and Employer-Sponsored Health Insurance -- Employers as Agents -- Health Savings Accounts and Consumer-Directed Health Plans -- The Small-Group Market -- The Individual Insurance Market -- Health Insurance Regulation -- High-Risk Pools -- An Overview of Medicare -- Retiree Coverage -- Medicaid, Crowd-Out, and Long-Term Care Insurance.
Author: Edythe Fackrell
Publisher: Independently Published
ISBN:
Category :
Languages : en
Pages : 154
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Book Description
When choosing the right health insurance plan for your specific needs and budget, it's important to consider all the options available to you. However, we understand that this is easier said than done and that there are a lot of confusing factors to keep in mind. Whether you're trying to find the best type of plan to choose through your employer-sponsored coverage, or you're just beginning to look into your individual health insurance options, this guide aims to break down the basics and provide you with additional resources to supplement your insurance journey. This is a useful, factual, non-partisan look at the current system for health insurance and getting health care in the U.S., including practical tips to help you save money on your health care, whether you have insurance or not. It is especially intended for self-employed people, freelancers, small-business owners, and others without access to employment-based group health insurance to understand all of the options and ways to save money. However, anyone can benefit from the useful tips and tricks as well as the overviews of important laws and issues for context. This well-researched book is full of valuable information, insights, and money-saving tips, and includes topics such as: -Different types of health insurance demystified and explained in a straightforward way -Practical advice on how to evaluate health plan options -How the Affordable Care Act of 2010 affected health insurance -How the premium subsidies work for individual insurance -Pros and cons of health care options and links for further reading -Interesting factoids on the continuing upward trend in healthcare costs and potential solutions Some of the many programs and options discussed include: -Individual insurance from the marketplace and outside the marketplace -Employment-based insurance for small and large businesses -Health savings accounts and ways to use them -Government programs including Medicaid, Medicare, and military heath programs -Short-term health insurance, accident insurance, and dental and vision insurance -Healthcare cost-sharing ministries -Paying cash, negotiating discounts, concierge medicine, and direct primary care -Telemedicine, medical tourism, discount cards, health clinics, and charity care
Author: Kathleen Hogue
Publisher:
ISBN: 9780802710246
Category : Business & Economics
Languages : en
Pages : 396
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Book Description
Author: Rhonda D. Orin
Publisher: Macmillan + ORM
ISBN: 1429979100
Category : Business & Economics
Languages : en
Pages : 274
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Book Description
Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309076099
Category : Medical
Languages : en
Pages : 204
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Book Description
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Author: Kathleen Hogue
Publisher: Avon Books
ISBN: 9780380707850
Category : Political Science
Languages : en
Pages : 384
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Book Description
Discusses adjustments in coverage recommended for such life changes as a new baby and marriage, and answers commonly asked questions on health care provisions
Author: Kevin Wacasey
Publisher: Createspace Independent Publishing Platform
ISBN: 9781545465448
Category : Health insurance
Languages : en
Pages : 294
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Book Description
The health insurance industry has changed. Gone are the days when you paid your premium, and your plan picked up the tab for all your health care. Nowadays the average deductible is over $2,000, which means that you will have to pay for most, if not all of your health care in any given year. Even worse are the dirty marketing tricks used to sell health insurance. You can spend thousands of dollars a year on a policy that you'll most likely never use, or you can spend even more to get a lower deductible that only gives you the illusion of better coverage. In this book physician and licensed health insurance agent Dr. Kevin Wacasey shows you how to save money on health insurance, and health care. First he cuts through the complexity of buying health insurance, by proving that upgraded plans with supposedly better coverage often end up costing more than you could ever save. Next Dr. Wacasey takes the reader along as he shops for a health insurance plan, then using a simple formula to compare ten different scenarios (pulled straight from healthcare.gov), Dr. Wacasey demonstrates that - in all ten cases - the Bronze plan will end up saving the consumer the most money. Both in sickness, and in health. Finally Dr. Wacasey reveals how much health care goods and services really "cost," and offers tips on how patients can save money on everything from ambulances to operations. Individuals, business owners, and anyone else who has to pay for health insurance, or for health care, will find Dr. Wacasey's book invaluable as he shows how to save lots of money - yet receive better care than ever before - in the first consumer-driven health care system the U.S. has ever known.
