Understanding Health Insurance - Gde. to Billing, Reimb. by M. Green PDF

By M. Green

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Universal health insurance The goal of providing every individual with access to health coverage, regardless of the system implemented to achieve that goal. com/ companions, enter Understanding Health Insurance in the Companion Search box, click Search, and click on the most current edition of the textbook. Then, click on Student Resources to locate Table 2-A and view a comprehensive history of healthcare reimbursement. S. , employment-based plan plus Medicare). Significant events in healthcare reimbursement YEAR EVENT DESCRIPTION 1860 First health insurance policy The Franklin Health Assurance Company of Massachusetts was the first commercial insurance company in the United States to provide private healthcare coverage for injuries not resulting in death.

Proficient use of computerized registration and billing systems and personal computers, including spreadsheet and word processing software applications. Certification through AAPC, AHIMA, or AMBA. Responsibilities: Use medical management computer software to process health insurance claims, assign codes to diagnoses and procedures/ services, and manage patient records. Communicate with patients, providers, and insurance companies about coverage and reimbursement issues. Remain up-to-date regarding changes in healthcare industry laws and regulations.

This is generally considered the first Blue Cross plan. 1939 Blue Shield The first Blue Shield plan was founded in California. The Blue Shield concept grew out of the lumber and mining camps of the Pacific Northwest at the turn of the century. Employers wanted to provide medical care for their workers, so they paid monthly fees to medical service bureaus, which were composed of groups of physicians. 1940s Group health insurance To attract wartime labor during World War II, group health insurance was offered to full-time employees.

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Understanding Health Insurance - Gde. to Billing, Reimb. 10th ed. by M. Green

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