Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Web Site, 2 terms (12 months) Printed Access Card and Cengage EncoderPro.com Demo Printed Access Card)

Discover the essential tool to prepare for a career in medical insurance billing — UNDERSTANDING HEALTH INSURANCE, 13E. 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. Practice exercises and the workbook (available separately) provides application-based assignments and case studies to reinforce your understanding, as well as CMRS, CPC-P, and CPB Mock Exams. New editions include online access to SimClaim™ CMS-1500 claims completion software and Optum’s EncoderPro.com Expert™.

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Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Web Site, 2 terms (12 months) Printed Access Card and Cengage EncoderPro.com Demo Printed Access Card)

CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets

CMS 1500 Claim Forms “NEW” HCFA (Version 02/12) – Health Insurance, Laser Cut Sheet: Satisfy the NEW medical billing requirements with compliant CMS-1500 forms. * Required for healthcare providers to bill a patient’s insurance company for reimbursement of medical claims. * CMS-1500 (version 02/12) replaces form (version 08/05). * Forms must adhere to strict printing standards that govern the layout, paper and ink. * Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). * Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association. * 20-lb paper with OCR “dropout” red ink for greater scanning accuracy. * 500 Sheets

Product Features

• Required for healthcare providers to bill a patient’s insurance company for reimbursement of medical claims. – 500 Sheets – Made in USA


• CMS-1500 (version 02/12) replaces form (version 08/05) – 1-Part Laser Form CMS-1500 Printed in Red Ink


• Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). – Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association.


• New Version 02/12 (APPROVED OMB-0938-1197) – Size 8-1/2″ x 11″ for Laser and Inkjet Printers – Starting 04/04/14 Medicare will accept this Version 02/12 “ONLY”


• Forms must adhere to strict printing standards that govern the layout, paper and ink. – 20-lb paper with OCR “dropout” red ink for greater scanning accuracy.

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CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets