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.
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.
Here's How to Get the Insurance Protection You Need for Your California RCFE You already know running a home care facility takes round the clock care and attention. You also know that there are certain liabilities that come from running an RCFE, such as a resident getting hurt, or an employee having an accident. The confusing part is knowing how make sure you have the right insurance so your livelihood is not in jeopardy when you have a large or small accident at your facility. That's where we come in. We help people just like you ensure you have the right insurance coverage so you can focus on what you do best, which is giving the highest level of care you can for the residents. Step 1: Call us for a quick insurance audit. We'll review your coverage to make sure you have the right insurance coverage for your facility. Step 2: If necessary, we will then source for you the best insurance that makes sense for your business and show you where you are exposed to unnecessary risk. Step 3: We take it from here and continue to monitor your insurance needs. If something changes, we can help you incorporate the changes so you are still adequately covered. Most people think they are saving money when they get a lower quote for insurance. Not all policies are equal though and you don't want to be the guy who did not have enough or the right kind of insurance. Now you can get the insurance protection you need and sleep well at night knowing you are covered. If you'd like us to help, just send an email to: Charley@BealsAgency.com or call us at 805-379-2022 and we will take it from there.
Full carb counts with serving sizes.
Living The Low Carb Lifestyle
If you have been following a low carb diet for any length of time, you know how difficult it was in the beginning to eat the right foods. It feels like every food you reach for is loaded with carbs these days. Low carb dieters need to be creative in preparing meals so they can have flavor and stick with a low carb lifestyle.
The secret to success with a low carb diet is enjoying the food you eat and having enough recipes to prevent boredom. Boredom equals bad eating habits and weight gain.
What Is A Low Carb Diet Anyway?
We shouldn't get ahead of ourselves and assume you already follow a low carb diet. If you are new to all this low carb diet talk here is a quick breakdown:
Typically a diet that has you eating 50 - 130 grams of carbs a day but can fluctuate heavily depending on how you respond to carbs
Once you start asking people about low carb diets or reading about them you will discover everyone has their own methods they believe in. They may also follow different plans like Atkins, Paleo or any number of the high protein, moderate fat, low protein diets available which all have the underlying theme of reducing your carbohydrate intake.
In the end, it is your personal choice as to how strict you are when following a low carb diet.
50 Ways To Eat Low Carb
Charity loves being in the kitchen cooking up the latest recipe and modifying it to fit her family's tastes. They get to be the guinea pigs so you don't have to be. These recipes have been given the stamp of approval by almost everyone in the family. You can't please everybody all the time.
Here are a few of the recipes you will find inside with full carb counts:
The Flexibility Of Low Carb
Charity is not shy to admit she follows a low carb diet most of the time. She still takes time to enjoy foods that may not be considered low carb and would never be considered a strict follower. If you find a recipe inside that doesn't meet your low carb goals there are always substitutions you can make.
The beauty of following a low carb diet is that it provides you numerous opportunities to enjoy food just for the sake of enjoying it. Remember that this is not just a diet, it is a lifestyle.
Are you ready to try the recipes that will make your low carb life easier?
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The book examines how the absence of insurance in the past led to some special maritime liability law principles such as 'general average' (i.e., losses or expenses shared by all the parties to a maritime adventure) and the limitation of shipowners' liability. In the absence of insurance, these principles served the function of insurance mostly for shipowners. As commercial marine insurance is now widely available, these principles have lost their justification and may in fact interfere with the most important goal of liability law i.e., deterrence from negligence. The work thus recommends their abolition. It further argues that when insurance is easily available and affordable to the both parties to a liability claim, the main goal of liability law should be deterrence as opposed to compensation. This is exactly the case with the maritime cargo liability claims where both cargo owners and shipowners are invariably insured. As a result, the sole focus of cargo liability law should be and to a great extent, is deterrence. On the other hand in the vessel-source oil pollution liability setting, pollution victims are not usually insured. Therefore oil pollution liability law has to cater both for compensation and deterrence, the two traditional goals of liability law. The final question the work addresses is whether the deterrent effect of liability law is affected by the availability of liability insurance. Contrary to the popular belief the work attempts to prove that the presence of liability insurance is not necessarily a hindrance but can be a complementary force towards the realization of deterrent goal of liability law.
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