LoveReading

Becoming a member of the LoveReading community is free.

No catches, no fine print just unadulterated book loving, with your favourite books saved to your own digital bookshelf.

New members get entered into our monthly draw to win £100 to spend in your local bookshop Plus lots lots more…

Find out more

Medical insurance

See below for a selection of the latest books from Medical insurance category. Presented with a red border are the Medical insurance books that have been lovingly read and reviewed by the experts at Lovereading. With expert reading recommendations made by people with a passion for books and some unique features Lovereading will help you find great Medical insurance books and those from many more genres to read that will keep you inspired and entertained. And it's all free!

Multidimensional Perspectives and Global Analysis of Universal Health Coverage

Multidimensional Perspectives and Global Analysis of Universal Health Coverage

Author: Yeter Demir Uslu Format: Hardback Release Date: 30/01/2020

Many countries are seeking to reach an effective universal health coverage system to increase the quality of life of their citizens. By implementing universal health coverage, countries can support all citizens, including those who do not have the financial power to pay for healthcare services, in receiving the necessary medical treatment to enable them to live healthier lives. Multidimensional Perspectives and Global Analysis of Universal Health Coverage is an essential reference source that defines the significance of universal health coverage and studies multiple concepts related to universal health coverage that can support qualified recommendations for governments seeking to improve their healthcare situation. Featuring research on topics such as financial risk, organizational performance, and patient safety, this book is ideally designed for policymakers, hospital executives, government officials, lawmakers, politicians, academicians, students, and researchers.

Workbook for Insurance Handbook for the Medical Office

Workbook for Insurance Handbook for the Medical Office

Author: Smith Format: Paperback / softback Release Date: 10/12/2019

Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance, 15th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Additionally, this workbook helps you develop a better understanding of the differences among the insurance programs when completing and electronically transmitting the 837 P or the CMS-1500 paper claim. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter.? Study outlines focus review by listing key points for each chapter. Self-study exercises - including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions - help you practice important concepts. Critical Thinking Assignments in the form of short, real-world vignettes prepare you for working in a real medical office and allow you to apply theory learned from the textbook. NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.?? NEW! Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting.? NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding reflects changes to the main text.

Weiss Ratings Guide to Health Insurers, Fall 2019

Weiss Ratings Guide to Health Insurers, Fall 2019

Author: Weiss Ratings Format: Paperback / softback Release Date: 30/07/2019

Weiss Ratings Guide to Health Insurers is the first and only source to cover the financial stability of the nation's health care system, rating the financial safety of more than 6,000 health maintenance organizations (HMOs) and all of the Blue Cross Blue Shield plans - updated quarterly to ensure the most accurate, up-to-date information.

Weiss Ratings Guide to Health Insurers, Summer 2019

Weiss Ratings Guide to Health Insurers, Summer 2019

Author: Weiss Ratings Format: Paperback / softback Release Date: 30/05/2019

Weiss Ratings Guide to Health Insurers is the first and only source to cover the financial stability of the nation's health care system, rating the financial safety of more than 6,000 health maintenance organizations (HMOs) and all of the Blue Cross Blue Shield plans - updated quarterly to ensure the most accurate, up-to-date information.

Fordney's Medical Insurance

Fordney's Medical Insurance

Author: Smith Format: Paperback / softback Release Date: 14/02/2019

Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney's Medical Insurance equips you with the medical insurance skills you need to succeed in any of today's outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians' offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart for the Medical Office (SCMO) activities?on the companion Evolve website give you the opportunity to practice using electronic medical records. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure you are compliant with the latest regulations. Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation. Increased focus on electronic filing/claims submission prepares you for the industry-wide transition to electronic claims submission. Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares you for your role in the workplace. Detailed examples of potential situations throughout text signal you to be attentive to these types of occurrences. Specialized icons throughout text alert you to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of. Procedures clearly outline in step-by-step format detail common responsibilities of the medical insurance specialist. UNIQUE! Interactive UB-04 Form filler on Evolve gives you additional practice with inpatient Electronic Health Records. SimChart for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap. Key terms are defined and emphasized throughout the text to reinforce your understanding of new concepts and terminology. NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.?? NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting.? NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.

Medicare Financing, Insolvency and Fraud

Medicare Financing, Insolvency and Fraud

Author: Bradford Rodgers Format: Paperback / softback Release Date: 22/01/2019

Medicare is the nations health insurance program for persons aged 65 and older and certain disabled persons. Medicare consists of four distinct parts: Part A (Hospital Insurance, or HI); Part B (Supplementary Medical Insurance, or SMI); Part C (Medicare Advantage, or MA); and Part D (the outpatient prescription drug benefit). Medicare covered over 58 million people in 2017 and has wide-ranging impact on the health-care sector and the overall U.S. economy. The Part A program is financed primarily through payroll taxes levied on current workers and their employers; these taxes are credited to the HI Trust Fund. From its inception, the HI Trust Fund has faced a projected shortfall. The 2018 Medicare Trustees Report projects that, under intermediate assumptions, the HI Trust Fund will become insolvent in 2026, three years earlier than estimated in the prior years report as discussed in chapter 1. As reported in the next 2 chapters, spending under the program (except for a portion of administrative costs) is considered mandatory spending and is not subject to the appropriations process. Thus, there generally are no limits on annual Medicare spending. Medicare is most acutely impacted by the sequestration of mandatory funds, since Medicare benefit payments are considered mandatory spending. Special sequestration rules limit the extent to which Medicare can be reduced in a given fiscal year. Chapter 4 focuses on reducing expenditures, unnecessary utilization, and improper payments through prior authorization. The Centers for Medicare & Medicaid Services (CMS) has begun using prior authorization in Medicare through a series of fixed-length demonstrations designed to measure their effectiveness, and one permanent program. The billions of dollars in Medicare outlays as well as program complexity make it susceptible to improper payments, including fraud. Although there are no reliable estimates of fraud in Medicare, in fiscal year 2017 improper payments for Medicare were estimated at about $52 billion. The last 2 chapters address ways to prevent and manage Medicare fraud.

Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems

Japan's Shifting Status in the World and the Development of Japan's Medical Insurance Systems

Author: Yoneyuki Sugita Format: Hardback Release Date: 21/01/2019

This book explains the origins and early developments of Japanese medical insurance systems from the 1920s to the 1950s. It closely examines the changes in the systems and the symbiotic relationship between Japan's status in international relations and the development of domestic medical insurance systems. While previous studies have regarded the origins and development of Japanese medical insurance systems as merely a domestic issue and pay little attention to the role or effects of international affairs, this book closely examines the changes in these systems by looking at the enactment of the Health Insurance Law in 1922, the establishment of the National Health Insurance in 1938, the epoch-making reforms of 1942, numerous plans in the early Allied occupation period, and Japan's social security plan in 1950. In doing so, it shows that there was indeed a symbiotic relationship between Japan's status in international relations and the changing nature of domestic medical insurance systems. It also reveals that Japan's status in international relations set the framework within which interested groups, primarily the government, made rational choices. This book is a valuable resource for academics, researchers and students who have an interest in the Japanese medical insurance systems.

How to Choose? A Comparison of the U.S. and Canadian Health Care Systems

How to Choose? A Comparison of the U.S. and Canadian Health Care Systems

Author: Robert Chernomas, Ardeshir Sepehri Format: Paperback / softback Release Date: 11/01/2019

Part I of this book explores the economists debate over the relative costs of the two health care systems. Part II explores the debate about access and quality of outcomes in the U.S. and Canadian systems. Part III of this book incorporates surveys and debate on the U.S. and Canadian health care systems in terms of satisfaction, interest, and willingness to accept either the U.S. market-driven system or the Canadian single-payer system.

Health Insurance Reforms in Asia

Health Insurance Reforms in Asia

Author: Sabrina Ching Yuen (Nanyang Technological University, Singapore) Luk Format: Paperback / softback Release Date: 28/06/2018

This book empirically examines health care financing reforms and popular responses in three major cities in East Asia: Shanghai, Singapore, and Hong Kong. It adopts a new revised version of the theory of historical institutionalism to compare and explain the divergent reform paths in these three places over the past three decades. It also examines forces that propel institutional change. The book provides three detailed case studies on the development of health care financing reforms and the politics of implementing them. It shows that health care systems in Shanghai, Singapore, and Hong Kong were the products of Western presence in the nineteenth century. It illustrates how greater attention is paid to the roles played by ideas, actors, and environmental triggers without abandoning the core assumptions that political institutions and policy feedback remain central to impact health care financing reforms. It shows that health care financing reform is shaped by a complex interplay of forces over time. It also provides the most updated material about health care financing reforms in Shanghai, Singapore, and Hong Kong. The central argument of this book is that health care financing reform is both an evolving process responding to changing circumstances and a political process revealing an intricate interplay of power relationships and diverse interests. It shows that institutional changes in health care financing system can be incremental but transformative in nature. It argues that social policies will continue to develop and welfare states will continue to adapt and evolve in order to cope with new risks and needs. This book sheds new lights on understanding the politics of health care financing reform and sources and modes of institutional change.

Student Workbook for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement, 14th

Student Workbook for Green's Understanding Health Insurance: A Guide to Billing and Reimbursement, 14th

Author: Michelle A. Green Format: Paperback / softback Release Date: 31/01/2018

The student workbook is design to help you retain key chapter content. Included within this resource are chapter objective questions; key-term definition queries; and multiple choice, fill-in-the-blank, and true-or-false problems.

ICD-10-CM 2018 Complete Code Set

ICD-10-CM 2018 Complete Code Set

Author: F.A. Davis Company Format: Spiral bound Release Date: 30/01/2018