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Understanding Health Insurance

RRP $553.99

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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.


Understanding Health Insurance (book Only)

RRP $464.99

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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.


Maximizing Your Health Insurance Benefits

RRP $244.99

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A comprehensive guide designed to help consumers understand the American health insurance system so that they can obtain the benefits to which they are entitled. Epstein explains the ins and outs of both new and traditional health insurance plans, including traditional individual and group policies, HMOs and other types of managed care plans, self-funded plans, Medicare, Medicare HMOs, Medigap, long-term care, COBRA, CHAMPUS, and Medical Savings Accounts.

Written by a nationally syndicated columnist, this useful volume also deals with special health insurance issues related to children, adults with special needs, and individuals who may need long-term care. In addition, Epstein provides valuable information for individuals who are in the process of changing jobs or making changes in their marital or family status, choosing a health insurance plan, or arranging long-term care-including placement in a nursing home or an assisted-living facility-for an aging parent. The book has a practical focus with a variety of tables and worksheets to help consumers establish a system for preventing health insurance problems, and for dealing with any health insurance problems that may arise. It also contains answers to common questions about health insurance, and provides a list of organizations that offer detailed information and advice in regard to specific health insurance problems.


Two Essays On The Philosophy Of Mental Health

RRP $23.10

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In this book the authors propose a novel understanding of the meaning and treatment of psychopathology. They consider contemporary explanations of mental health problems such as cognitive distortion, impeded self-actualisation or unconscious conflict, and make the argument that these explanations are incomplete. Instead, they view psychological symptoms as expressing a 'mixed reality.' By 'mixed reality' they intend to emphasise that troubled thoughts, feelings and behaviour not only reflect disorder, but also contain a normalising or healing tendency - analogous to the healing tendency that is activated in any living organism which finds itself in a wounded state. In the interest of providing a context or framework for understanding this healing tendency, they investigate the philosophical underpinnings of the notions of normality and abnormality. They define normality in terms of the complementarity between the uniqueness of personal existence and the linking force of relationship, and see abnormality in terms of the breach of this complementarity. In view of this emphasis on 'being' and 'relationship' they consider various philosophical approaches to the question of how things 'are' in themselves and how they 'relate' to one another. In exploring these issues they examine, with particular attention, the works of three contemporary thinkers: Graham Harman, Kenneth Gergen and Kenneth Schmitz. This examination leads the authors to propose a personalist vision in which they understand the accord of 'to be' and 'to relate' as ontologically grounded. Moreover, they propose that the intelligibility of epistemological, moral/ethical and psychological dimensions of human experience depends on this ontological grounding. The complementarity or 'trusted connection, ' which they consider to be at the basis of all human experience, becomes a key feature of their interpretive approach. They speak, therefore, of the priority of the hermeneutics of belief over the hermeneutics of suspicion. Theirs is a reversing, so to speak, of the approaches of Marx, Nietzsche and Freud, whom Paul Ricoeur has described as the 'Masters of Suspicion.' The authors' emphasis on belief in trusted connection leads them to consider the differential status between the ontological dimension of human experience, on the one hand, and the epistemological, moral/ethical and psychological dimensions of that experience, on the other. They view the realities pertaining to the healing effect of trusted connection as having an ontological priority over, and influence upon cognitive, moral and psychological concerns. They speak of the 'horizontal' structure of the former and the 'vertical' structure of the latter, and focus on an essential compatibility between horizontal and vertical. They see an 'original normality' implied by the ontological foundation of this compatibility; however, in view of their emphasis on the healing of breach, they do not simply entertain an idealistic vision of 'original normality.' They focus, rather, on the realistic potential of healing 1) the breach of complementarity, 2) the breakdown of hierarchy and 3) the incompatibility between the complementary and the hierarchical. In the framework they develop, the complementary has a normative influence on the hierarchical such that meaning has priority over power, service over dominance, co-operation over competition, wonder over control, truth over possession, etc.... And this is the case not only in times of harmonious adjustment, but also, if not especially, in times of struggle or difficulty. These considerations lead them to view the psychotherapeutic endeavour as a hopeful enterprise.


The Principle Of Indemnity In Marine Insurance Contracts

RRP $629.99

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This book discusses legal issues related to the principle of indemnity in marine insurance contracts as well as disputes that may arise in a representative sample of common and continental law jurisdictions. It offers a comparative examination of Australian, English, Canadian, French, Greek, Norwegian and U.S. law. It examines the scope for a legal reform and the potential of achieving a better, more flexible, and modern indemnification regime.



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