Understanding Health Policy

Book Description

"This highly readable text gives a broad but detailed picture of how health care is organized and dispensed in the United States." -Annals of Internal Medicine, on the First Edition

The #1 text on health policy, this well-known book provides a short introduction to U.S. health care policy by two leading experts who are themselves practicing physicians. The Fourth Edition features the latest information on cost containment, health insurance, managed care, hospital payment, and the new two-tier model of physician reimbursement.

Customer Reviews:

Should health care be a right?.......2007-08-22

Beware: This is an highly ideological text that starts with the assumption that health care is a right! It than goes on to say that in order to fulfill that right it is necessary to control the costs of health care. Obviously, cost control is a very problematic economic proposition that calls for state intervention and that sometimes has consequences that are the opposite of what is desired.
In the UK, where health care is a right, cost control has led to shortages, waiting lists and an overall degradation of health care. The UK, currently, has the highest mortality rates for oncological problems of all the EU countries and British people got used to flying to France and India for medical care. Canadians also have shortages and Canadians resort to the US.
Sometimes a "right" can easily turn into a "wrong"!

Easy to read.......2007-07-15

I got this book for a graduate class that I am taking. This book uses clear language when presenting the material and has many mini "case studies" for examples, which makes it easy to read. Though I am required to read this book, it is not the standard, wall-of-text, that I am use to reading.

Outstanding overview of healthcare system in USA.......2007-07-05

This is probably the best single text I have read on healthcare policy issues in the USA. The books addresses every relevant aspect of our system. Unlike other excellent books, such as Dr. Arnold Relman's book, A Second Opinion, which analyzes the system, then makes recommendations on how to reform it, the authors here mainly explicate. The format of the book includes brief, usually fictitious, vignettes about physicians, patients or administrators that illustrate the points the authors present. That format - combined with the simply-presented, clear narrative and analysis - works very well. I also find the references to be excellent. Aside from Dr. Relman's book, I recommend any of the books by Prof. Victor Fuchs, in particular Who Shall Live?, books by Prof. Theodore Marmor and the classic by Prof. Paul Starr, The Social Transformation of American Medicine. There are many other excellent books and articles by a wide range of insightful analysts. These kinds of books are invaluable for understanding the issues in healthcare. So much of the information that filters through to the average person via news reports, propaganda issued by parties with vested interests to protect and superficial proposals from polticians is inaccurate and misleading, usually grossly so. Reading a book such as this goes a very long way towards cutting through that clutter regardless of one's personal experiences and prejudices.

Understanding Health Policy.......2007-01-09

This book is a great basic review of how health care is delivered. The format and information is most useful for people who are going into medicine. There isn't really anything about the politics behind health care policy; instead the book focuses on defining key terms and outlining the structure of relationships between payers, receivers, and providers. The book also covers the differences between different types of insurance policies, as well as different national health plans of countries with more socialized medicine.

This is a good book.......2006-11-10

We use this book in the Health Care Policy class for which I am a teaching assistant. It is a good, basic introduction to most of the important issues in health policy and the students give it high marks for clarity and comprehensiveness. It is easy to read and to understand.

Understanding Health Insurance: A Guide to Billing and Reimbursement (Understanding Health Insurance)

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Comprehensive Instruction Material for Beginner Coders and Billers
Learning Tool

Understanding Health Insurance: A Guide to Billing and Reimbursement (Understanding Health Insurance)
Jo Ann C. Rowell , and Michelle A. Green
Manufacturer: Cengage Delmar Learning
ProductGroup: Book
Binding: Paperback

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CPT 2007 Standard Edition: Current Procedural Terminology (Cpt / Current Procedural Terminology (Standard Edition))

Accessories:

Understanding Hospital Coding and Billing: A Worktext
2007 Coding Workbook For The Physician's Office (Coding Workbook for the Physician's Office)
Workbook to Accompany Understanding Health Insurance: A Guide to Billing and Reimbursement

ASIN: 1401895956

Book Description

Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.

Customer Reviews:

Comprehensive Instruction Material for Beginner Coders and Billers.......2007-04-10

Medical coding and billing continuously evolve in large part because insurance companies and providers have conflicting business goals. An effective biller must go beyond simple claim submission and discover the reasons for underpayments and denials, to solicit missing information from both providers and payers, and follow up on every claim until its full payment. Rowell's and Green's Guide provides an ideal introductory didactic set of materials covering everything from history of health care reimbursement, major insurance companies, and federal health care legislation, to basic knowledge of national diagnosis and procedure coding rules, to complex topics, such as V-codes, and diagnosis code linking. The text is replete with examples and exercises, helping students understand and remember the needed materials.

Learning Tool.......2007-03-11

This book is fanastic and provides up-to-date information on the health insurance industry. Its great for learners and old timers too. Gives a very broad spectrum of the health industry and easy to comprehend. I recommend this book to anyone as a teaching/learning tool.

Understanding Health Insurance: A Guide to Professional Billing

Average customer rating:

Understanding Health Insurance: A Guide to Professional Billing
Errors Galore
find something better to learn from
inked
you will need more than just this book to benefit

Understanding Health Insurance: A Guide to Professional Billing
Jo Ann C. Rowell , and Michelle A. Green
Manufacturer: Thomson Delmar Learning
ProductGroup: Book
Binding: Paperback

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Workbook to Accompany Understanding Health Insurance: A Guide to Billing and Reimbursement

Accessories:

Workbook to Accompany Understanding Health Insurance

ASIN: 1401837913

Book Description

Understanding Health Insurance: A Guide to Professional Billing, 7th edition, is a comprehensive guide for those learning about health insurance claims processing and reimbursement issues. The text utilizes a step-by-step approach to successful completion of health insurance claims. The objectives of this edition are to 1) introduce information about major third party payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately. Numerous examples help clarify key concepts. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing UB-92 (CMS-1450) claims and dental claims.

Customer Reviews:

Understanding Health Insurance: A Guide to Professional Billing.......2007-05-08

I did not received the book, I order, still waiting to get the book.

Errors Galore.......2006-03-10

After purchasing the instructor's manual to check my answers, I found errors in every chapter!! From spelling to incorrect percentage amounts. I found myself editing the entire time to find their errors which contradict their text. When I got answers that were not an option in the multiple choice exercises, I would reference the book and the textbook would say I was correct, and the workbook did not. Not worth the money or the time. Extremely exhausting.

find something better to learn from.......2005-12-11

I took a night course which used this textbook. The instructor who is a certified coder and is an instructor at other institutions found MANY misleading instructions. You can be told to do something one way in the book but in real life at a billing job, you would have to do it another way. Also, we found many contradicting statements. They say one thing but do something totally different in their examples. It's really not worth the money.

inked.......2005-10-02

the book i received was in acceptable condition but all the practice pages were completed in ink and i was not notified of this condition of the book. other than that i am satisfied with my purchase.

you will need more than just this book to benefit.......2005-09-04

The book is made to sound as if it would be all you need to become a Medical Billing/Health Insurance specialist. Not a chance. You will need the most current coding manuals to even attempt to complete this course. And even then without the answers you have no way to check your progress. There must be better books, Keep Searching

Understanding Medical Coding: A Comprehensive Guide

Average customer rating:

Understanding Medical Coding: A Comprehensive Guide
Sandra L. Johnson
Manufacturer: Thomson Delmar Learning
ProductGroup: Book
Binding: Paperback

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ASIN: 0766801047

Book Description

This comprehensive text is written by educators and experienced coders to help learners master the complexities of medical coding. The 12 modules address a variety of medical specialties including dermatology, cardiology, primary care, and orthopedics, and tackle the common coding problems encountered in the real world. Coding exercises provide practice for learners and enable them to test their knowledge. (comprehensive, insurance, coding, coding exercises, medical specialties) ALSO AVAILABLE - INSTRUCTOR SUPPLEMENTS CALL CUSTOMER SUPPORT TO ORDER Instructor's Manual ISBN: 0-7668-0105-5

Understanding Hospital Billing and Coding

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Understanding Hospital Billing and Coding
Debra P. Ferenc
Manufacturer: Saunders
ProductGroup: Book
Binding: Paperback

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ASIN: 1416001719

Book Description

With expert guidance and over 400 illustrations and graphics, Understanding Hospital Billing and Coding covers aspects of hospital insurance billing and coding, from patient admission to accounts receivable management and HIPAA. This one-of-a-kind, comprehensive approach prepares students to meet the growing need for hospital billing and coding professionals by transitioning students' knowledge from the physician/outpatient environment to the hospital environment. Students will gain an understanding of various aspects of hospital billing and coding including: the hospital regulatory setting, structure and function of hospital departments, patient accounts and data flow, the billing process, coding, claim forms, reimbursement, accounts receivable management, HIPAA, and much more.

Bndl Understanding Health Insurance and Workbook

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Bndl Understanding Health Insurance and Workbook
Michelle A. Green , and Jo Ann C. Rowell
Manufacturer: Cengage Delmar Learning
ProductGroup: Book
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ASIN: 1418008451

Book Description

Text bundled with workbook.

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Understanding ICD-9-CM: A Worktext
Mary Jo Bowie , and Regina M Schaffer
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3-2-1 Code It!

ASIN: 1401878466

Book Description

Introducing ICD-9-CM coding in a fresh and innovative manner, this book focuses on the fundamentals of ICD-9-CM coding and the ICD-9-CM Official Coding Guidelines for Coding and Reporting. Many clinical examples are utilized throughout the text to provide you with "real-life" examples, making this a necessary tool for practical application. This learning resource provides you with a standard coding background for all medical specialties.

Workbook to Accompany Understanding Health Insurance: A Guide to Billing and Reimbursement

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Workbook to Accompany Understanding Health Insurance: A Guide to Billing and Reimbursement
Susan A. Brisky , and Ruth M. Burke
Manufacturer: Cengage Delmar Learning
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ASIN: 140189609X

Book Description

The restructured chapter content of the workbook offers application-based assignments with more critical thinking components. The assignments require learners to demonstrate an understanding of the content rather than simple recall of facts. Chapter 1 provides guidelines for professional development as well as initiating a job search, with numerous resources identified. Chapters 2-17 offer an in-depth review of health insurance billing and reimbursement concepts.

Workbook to Accompany Understanding Health Insurance: A Guide to Professional Billing

Average customer rating:

wrong edition

Workbook to Accompany Understanding Health Insurance: A Guide to Professional Billing
Joann C. Rowell , Michelle A. Green , and Ruth M. Burke
Manufacturer: Delmar Thomson Learning
ProductGroup: Book
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Customer Reviews:

wrong edition.......2005-10-02

i was sent the 6th edition of this workbook which was out 2years ago my purchase was a waste of money. thank you.

Understanding Hospital Coding and Billing: A Worktext

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Not for self study

Understanding Hospital Coding and Billing: A Worktext
Marsha S Diamond
Manufacturer: Cengage Delmar Learning
ProductGroup: Book
Binding: Spiral-bound

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ASIN: 1401879438

Book Description

Finally, a complete guide to the hospital coding and billing processes that includes both inpatient and outpatient coding as well as inpatient and outpatient billing! Understanding Hospital Coding and Billing offers a comprehensive look at the world of hospital/facility coding and billing in a worktext format. This learning solution will promote understanding of the entire facility process from patient intake through the entire billing process. Knowledge of the total process is imperative to successful comprehension of both coding and billing in the facility setting.

Customer Reviews:

Not for self study.......2006-08-15

I ordered this book for self study, not for any class. There are no answers; they're all in the instructor's manual, which you cannot purchase if you're not an instructor. Calls to the publisher were met with indifference. The book itself is great, but if I already knew the answers I wouldn't have needed the book!

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