Book Description

This current, accurate and detailed industry guide for financial service professionals examines life and health insurance simultaneously from the viewpoints of the buyer, the advisor, and the insurer—providing a comprehensive and unbiased treatise on individual and group life; a forthright appraisal of life and health insurance industry products with careful consideration of the environment; and a complete examination of life insurance company operations and regulation. Bases financial treatment of life insured operations on modern financial theory, and devotes entire chapters to the economics of life and health insurance; individual life and health insurance policies; life and health insurance evaluation; the uses of life and health insurance in personal and business planning; government and employee benefit plans; and the management, operation, and regulation of life insurance companies. Offers a strong global orientation, supporting fundamental concepts with an extensive integration of economic and financial theory and international comparisons, and examines how today's health insurance products fit into a broad framework from a contractual, cost, and performance viewpoints. New chapters on the tax treatment of life and health insurance address such areas as estate planning, retirement planning, and the business uses of life and health insurance. For financial planners, salesmen, actuaries, investment managers, attorneys, CPAs, and other financial service professionals.

Reviews (3)

Life and Health Insurance (13th Edition)
New edition of a venerable classic textbook first published in 1915

Comprehensive and concise
This is an excellent reference book for anybody in the life insurance business, whether you are a novice or an old hand. Comprehensive, easy to understand, and concisely written.

an excellent reference book
This book is an excellent reference book. Just by looking at its Edition Number -- 13, you will know how important this book is in the industry. ... Read more

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. ... Read more

Reviews (9)

Very misleading
I purchased this book with the accompanying workbook. Although it may contain good information, the answers are not provided to the exercises--in either the book or workbook. Apparently, a separate instructor's manual needs to be purchased. When spending [the money] for both books, I didn't even think that answers would not be provided, much less that I'd have to spend [more money] to get them. I'd recommend the book, workbook, and instructor's manual, unless you're taking a class that allows you to check to make sure you understand the concepts.

I'm not sure why I don't have voting buttons--I read every review here before I submitted mine.

Good book
If your going to Fairleigh Dickinson University and your taking up Medical Administration you will need this book

A must have for understanding billing
extensive illustrations and diagrams. the book explains exactly what is needed to understand the billing procedure.

It's Great!
This book explains a great deal about medical billing. It is written in an easy-to-read style, and organizes the information in logical steps.

LEARN HEALTH PROVIDER CODING
This text, workbook, and instructor's manual - which has the answers :-) - are very well put together, easy to follow and thoroughly cover the usual procedures of coding and touch on many hard-to-code ones. I found the history section informative and much as I wanted to get to the coding work,very thorough and very interesting. There are many questions throughout the lessons that very are well thought out and follow the text extremely well and reinforce what you have just read. This set of instructional manuals will really help you learn this subject. ... Read more

Reviews (1)

Financial Management of Healthcare Organizations
This text proved an invaluable guide to the subject of hospital finances. This was a subject I was not particularly interested in, and the book surprised me. It is readable and clear. The logic flows smoothly. There are plenty of examples, illustrating assorted principles. After reading several books on the topic of hospital finances, this one stands out for its clarity. ... Read more

Book Description

The Professional Review Guide for the RHIA and RHIT Examinations 2004 Edition is accompanied by an interactive CD-ROM that contains over 1600 review questions to prepare the user for AHIMA's RHIA and RHIT Certification Examinations.The 1600 review questions found both in the book and CD-ROM were selected by authors to cover the broad range of topic categories found in both the RHIA and RHIT examinations. ... Read more

Book Description

The Professional Review Guide for the CCS Examination 2004 Edition contains:study tips, a comprehensive resource list, a review section with multiple choice coding questions that review a broad range of competencies.This valuable manual also includes coding case studies for coding review for the CCS examination, a mock examination that strives to mirror the CCS Examination. The mock examination includes 60 multiple choice coding questions reviewing a broad range of competencies, 21 medical record coding cases, 11 outpatient records, 5 Ambulatory surgery, 3 emergency room, 3 other,and 10 inpatient records.The appendices include:Official Guidelines for ICD-9-CM Guidelines for Coding and Reporting, Commonly Administered Drugs, Lab values, and a new listing of updated ICD-9-CM coding changes for 2004Use the book and the Interactive CD-ROM to practice interpreting documentation and applying your clinical knowledge in assigning codes to diagnoses and procedure for a variety of patient settings including: Inpatient, Outpatient surgery, Emergency Room, Physician office, and Long term Care. ... Read more

Book Description

A Guide to Health Insurance Billing takes the normally "dry" topic of insurance billing and makes it user-friendly and engaging. All aspects of the billing process, from key terms to state and federal regulations to guidelines for completing and submitting claims to health insurance programs, are written in clear direct language that is easily understood. Numerous real world examples, review exercises and simulations throughout the text clarify difficult concepts and give users the opportunity of applying learned material. · An introduction to the new coding systems, ICD-10. · ICD-9-CM and CPT coding systems are explained using the most current information · Health insurance simulation and coding exercises put users in a realistic insurance billing environment · Managed care and its impact on health insurance billing is covered in a special chapter · Accompanying CD-ROM provides additional application exercises for HCFA-1500 completion and coding · Chapter on the Electronic Data Interchange (EDI) introduces readers to this commonly used method of claim submission (KEYWORDS:insurance, billing, coding, entry-level, ICD-9, CPT, HCPCS, exercises, user-friendly, educational programs, insurance claims, key concepts, health insurance) ... Read more

Book Description

The State Guide to CAM Specialties is an invaluable reference for all medical professionals and insurance providers involved with the complementary and alternative medicine (CAM) industry. This annual guide's state-by-state breakdowns of specific practice guidelines clearly outline what services CAM practitioners can and can not legally deliver to their patients, and assists insurance providers in determining which services to offer (or stop offering) and which practitioners to recruit to best supply those services. Easy to understand and well-organized, The State Guide to CAM Specialties is a definitive reference to the legal compliance issues relevant to CAM practitioners and the insurers who monitor and pay for CAM services.(KEYWORDS:Insurance, Coding, CAM Specialties, alternative medicine, insurance providers) ... Read more

Book Description

Reviews (9)

practical and funny
This how-to is blessed with two cardinal virtues: it's very, very practical, and very, very funny. For Rhonda Orin, fighting a health insurer over a coverage denial or a short payment seems to be like fox-hunting for an English nobleman: a joy to be studied with relish and pursued at every opportunity. Recalcitrance or feigned incompetence on the part of an insurer only stimulates her to fight harder -- and this book spells out, with a connoisseur's surehandedness, every step in the process of "making them pay." The book is also an excellent guide to choosing an insurance plan, if you're lucky enough to have a choice, and to reading the policy with an eye to hidden costs and hidden exclusions.

As for the humor, Ms. Orin writes about insurers as if they're incorrigible children -- children she knows very, very well.

Don't be fooled by the title
I bought this book thinking it would help with my insurance company pay my claims they denied (no names, but their initials are Blue Cross/Blue Shield of Georgia). It wasn't helpful in that way. This book seems to focus on people who actually have a choice on picking what insurance they want. It doesn't help the 99.9% of employees who don't have any choice on what insurance plan they're offered.
The book clearly explains all the ins and outs of insurance companies, but is little help in "making them pay."

Librarian's Recommendation
Rhonda Orin's book on health insurance is very informative as it offers clear, concise advice on how to deal with health insurers. From a reference librarian's perspective possibly the most useful part is the mandatory benefits list of all 50 states. There is also humor in the cartoons and text, always a good way to break the ice when dealing with such an ornery topic. Highly recommended.

Fabulous book!
As an attorney myself who had the rare privilege of working under the expert guidance of Ms. Orin, it is no surprise to me that this book is funny, informative, easy to read, and a terrific reference manual for how to decipher those long, horrendous insurance policies and all the fine print that unfortunately comes with them. This book is and will be a very useful guide for anyone who reads it. I strongly recommend it.

Grateful reader
Great book! Very helpful. It helped me understand how to get the most out of my insurance coverage. The clever anecdotes made normally dry material come alive. After reading it I evaluated my family's coverage and made changes to fit our "profile". And I finally resolved a dispute in my favor! ... Read more

Book Description

LEARN how to INITIATE, ORGANIZE, and SUSTAIN your study preparation!Preparation Guide for the RHIA and RHIT Examinations is designed to be used as a mechanism to assist, enhance and structure the users study and exam preparation activities for the RHIA and RHIT certificate examinations.A CD-ROM with study tools for designing a personal study agenda is included with the book. ... Read more

Book Description

Every industrial nation in the world guarantees their citizens access to essential health care services--every country, that is, except the United States. Indeed, one in eight Americans--a shocking 43 million people--a majority of them in working families, do not have any health care insurance. One Nation, Uninsured offers a vividly written, path-breaking history of America's failed efforts to address the health care needs of its citizens. Ranging across the 20th century, Jill Quadagno shows how each attempt to enact national health insurance was met with fierce attacks by powerful stakeholders, who mobilized their considerable resources to keep the financing of health care out of the government's hands. Quadagno describes how in the first half of the twentieth century physicians led the anti-reform coalition, fearful that government entry would mean government control of the lucrative private health care market. Doctors lobbied legislators, influenced elections by giving large campaign contributions to sympathetic candidates, and organized "grassroots" protests, conspiring with other like-minded groups to defeat reform efforts. Only with Medicare and Medicaid, coverage for the very poor and the old--two groups that private insurers don't want to cover--have we seen any success with government insured health care. Yet even as Medicare succeeded at mid-century and physicians and the AMA receded from the battle's front lines, the insurance industry assumed a leading role against reform.Extending from the Progressive Era to the Clinton years, One Nation, Uninsured offers a sweeping history of the battles over health care. It is an invaluable read for anyone who wonders why our incredibly wealthy country is the only industrial nation that cannot ensure health care for all its citizens. ... Read more

Book Description

The Professional Review Guide for the CCS-P Examination, 2004 Edition contains:study tips, a comprehensive resource list, a review section with multiple choice coding questions that review a broad range of competencies.This valuable manual also includes coding case studies for coding review for the CCS-P examination, a mock examination that strives to mirror the CCS-P Examination. The mock examination includes 60 multiple choice coding questions reviewing a broad range of competencies, 21 medical record coding cases, 11 outpatient records, 5 Ambulatory surgery, 3 emergency room, 3 other,and 10 inpatient records.The appendices include:Official Guidelines for ICD-9-CM Guidelines for Coding and Reporting, Commonly Administered Drugs, Lab values, and a new listing of updated ICD-9-CM coding changes for 2004Use the book and the Interactive CD-ROM to practice interpreting documentation and applying your clinical knowledge in assigning codes to diagnoses and procedure for a variety of patient settings including: Inpatient, Outpatient surgery, Emergency Room, Physician office, and Long term Care. ... Read more

Book Description

Professional Review Guide for the CCA Examination, 2004 Edition is a valuable tool for those preparing to take the CCA Exam.This valuable manual contains: study tips, a comprehensive resource list, multiple choice questions for review, and information on Biomedical Sciences, Information Technology, Healthcare Data Content, Health Care Delivery Systems, Clinical Classification Systems, ICD-9-CM and CPT coding, Official Coding Guidelines, Billing, Reimbursement, and Compliance, Commonly Administered Drugs, Lab Values, Official Guidelines for ICD-9-CM Guidelines for Coding and Reporting.Use the book and the Interactive CD-ROM to practice interpreting documentation and applying your clinical knowledge in assigning codes to diagnoses and procedure for a variety of patient settings. ... Read more

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. Codingexercises 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 ... Read more

Book Description

Discover how to buy the right health insurance cheaply and effectively. Includes inside tips for smart shoppers on compensation, the selection process, evaluating your health insurance needs, and much more. ... Read more

Reviews (2)

Mediocrity and Duplication
This book does contain some definitions and explanation of health insurance conventions that may be helpful to many. For instance I found the explanation of what to expect from Medicare and the info on Medigap policies informative. As for advice, there are few insights here, mostly platitudes and generalities that should be obvious to anyone (like "read the policy terms"!) Far worse, the text in this book is EXACTLY IDENTICAL to the book "Hassle Free Health Coverage" - so DON'T BUY BOTH!

Written expressly for bewildered lay readers
A solidly practical guide written expressly for bewildered lay readers, Health Insurance Made E-Z covers almost everything anyone needs to know ranging from basic terms and definitions, to how managed care works, Medicare and Medicaid, choosing the right plan, tips for health insurance shoppers, coping with insurance claim trouble and much more. Simple, down-to-earth explanations and a wealth of details and advice make Health Insurance Made E-Z an absolute "must" for health insurance buyers everywhere. In this era of rapidly rising health costs, it iss far, far better to learn the nuances of health insurance before you find yourself paying hundreds of dollars or more a month for it -- only to be disappointed if the need for it should ever arise! ... Read more

Book Description

Both a primer and a buyers guide, it offers up-to-date information and practical advice. ... Read more

Reviews (1)

Duplication and Mediocrity
This book does contain some definitions and explanation of health insurance conventions that may be helpful to many. For instance I found the explanation of what to expect from Medicare and the info on Medigap policies informative. As for advice, there are few insights here, mostly platitudes and generalities that should be obvious to anyone (like "read the policy terms"!) Far worse, the text in this book is EXACTLY IDENTICAL to the book "Health Insurance Made E-Z" - so DON'T BUY BOTH! ... Read more

Book Description

Is a comprehensive learning tool for processing insurance claim forms for inpatient and outpatient services for acute, subacute, long-term care, specialty and clinic facilities using the Uniform Bill 92 or UP-92 (HCFA-1450 form).(inpatient and outpatient billing, acute care billing, processing claim forms, HCFA-1450, uniform bill, Medicaid, Medicare,TRICARE, Blue Cross/Blue Shield) ALSO AVAILABLE - INSTRUCTOR SUPPLEMENTS CALL CUSTOMER SUPPORT TO ORDER Instructors Guide ISBN: 0-8273-8224-3 ... Read more

Book Description

The HMO system is supposed to stop greedy doctors and hospitals from viewing patients as sources of profit. But Health Against Wealth reveals that when you are confronting a medical emergency, the HMO system's cost-saving rules can jeopardize your life. This book, said the Cleveland Plain Dealer, is a "chilling portrait of the many ways in which HMOs can be hazardous to your health." ... Read more

Reviews (1)

Balanced, unflinching examination of the health care system.
As a journalist, not a health service provider, Mr. Anders brings credibility to his examination of our current health care system. His matter-of-fact style and even-handed presentation of the abuses of the traditional, fee for service model, the positive strengths of managed care, and the responsibility of the consumer in building a workable system further enhance his credibility. In this broad review of health care, Mr. Anders points out that the initial goal of managed care was to secure high quality, affordable, efficient health care by making sure patients received the right treatment by the right provider at the right time. He credits HMO's with redirecting medical priorities to preventive care away from costly, late-stage care. Mr. Anders discusses how the well-intended but inappropriate application of traditional business practices accidently created powerful loopholes and incentives for abuse, in part, because consumers and purchasers were naive about the great potential for unethical profiteering by managed care. The organization of the book makes the complicated issues in health care more understandable. Complex issues are discussed in separate chapters organized by topic areas such as emergency care, medicare and mental health care. Mr. Anders combines factual technical information with evocative personal testimonies from patients, providers, managed care executives and others. Mr. Anders' bottom line is that truly sick, vulnerable or atypical patients are poorly served by for-profit managed care. While Mr. Anders mainly focuses on the dark side of managed care, a great strength of the book is that he does not leave the reader feeling hopelesss or overwhelmed. In his final two chapters, he addresses quality and gives specific suggestions for building a balanced, better system. This easy read is an indispensible resource for those interested in promoting a health care system characterized by compassion, competence, and cost-effectiveness. ... Read more

Book Description

This course surveys life and health insurance principles and concepts common to all state producer licensing exams, giving students the relevant information they need to help pass the exam on the first try.The text is intended as a comprehensive introduction to life and health insurance. Topics include insurance contracts, life insurance policies, premiums and proceeds, underwriting and policy issue, group life insurance, annuities, retirement plans, health providers and Medicare, medical expense insurance, disability income insurance, accidental death and disability insurance, health insurance policy provisions, health insurance policy underwriting and premiums. The text features interactive learning aids that enhance the user’sunderstanding of key concepts and improve retention. Hundreds of questions with rationales and a final examare also included within the text.

To accurately prepare for the state licensing exam, Dearborn strongly recommends studying this License ExamManual with the appropriate State Law Guide. ... Read more

Reviews (1)

Good combination of Life & Health (Accident & Disability)
Combines the Dearborne Pastrack Health Insurance & Life Insurance License Exam Manuals.

Overall it is a good study guide (I passed using this book with 2 weeks of leisurely at home study), but the test section could be revamped - it did not include enough questions that were like the ones on the actual exam (I took an Experior Online state exam). ... Read more