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""Understanding Health Insurance, Twelfth Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The Twelfth Edition has been updated to include new legislation that affects health care, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), the medical review process, and more. Practice exercises in each chapter provide plenty of review, and the accompanying workbook provides even more application-based assignments and additional case studies for reinforcement,. Purchase of this text includes access to free online SimClaim CMS-1500 claims completion software and free-trial access to Optum?s EncoderPro.com - Expert encoder software" -- p. [4] of cover."

""Home care clinicians everywhere depend on "the little red book" for essential, everyday information: detailed standards and documentation guidelines including ICD-9-CM diagnostic codes, current NANDA-I and OASIS information, factors justifying homebound status, interdisciplinary goals and outcomes, reimbursement considerations, and evidence-based resources for practice and education. Completely revised and updated, this handbook now includes the most recently revised Federal Register Final Rule and up-to-date coding guidelines."--BOOK JACKET."