Traditional Fee-for-Service/Private Plans

Mar 15, 2017 by in NURSING Comments Off on Traditional Fee-for-Service/Private Plans

Chapter 6 Traditional Fee-for-Service/Private Plans Chapter outline I. Traditional Fee-for-Service/Indemnity Insurance II. How a Fee-for-Service Plan Works III. Healthcare Reform and Preexisting Conditions A. HIPAA and Credible Coverage IV. Commercial or Private Health Insurance A. Who…

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The Claim

Mar 15, 2017 by in NURSING Comments Off on The Claim

Chapter 15 The Claim Chapter outline I. Introduction II. General Guidelines for Completing CMS-1500 Form III. Keys to Successful Claims A. First Key: Collect and Verify Patient Information B. Second Key: Obtain Necessary Preauthorization and…

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The Role of Computers in Health Insurance

Mar 15, 2017 by in NURSING Comments Off on The Role of Computers in Health Insurance

Chapter 16 The Role of Computers in Health Insurance Chapter outline I. Introduction II. Impact of Computers on Health Insurance III. Role of Health Insurance Portability and Accountability Act (HIPAA) in Electronic Transmissions…

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The Origins of Health Insurance

Mar 15, 2017 by in NURSING Comments Off on The Origins of Health Insurance

Chapter 1 The Origins of Health Insurance Chapter outline I. What Is Insurance? II. History III. Metamorphosis of Medical Insurance IV. Key Health Insurance Issues A. How Can People Obtain Health Insurance? B. Access to Health…

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Types and Sources of Health Insurance

Mar 15, 2017 by in NURSING Comments Off on Types and Sources of Health Insurance

Chapter 4 Types and Sources of Health Insurance Chapter Outline I. Types of Health Insurance A. Indemnity (Fee-for-Service) B. Managed Care II. Sources of Health Insurance A. Group Contract 1. Advantages 2. Disadvantages B. Individual Policies 1. Advantages 2. Disadvantages…

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Reimbursement

Mar 15, 2017 by in NURSING Comments Off on Reimbursement

Chapter 7 Reimbursement Marion Gentul Chapter Outline PAYING FOR HEALTH CARE TYPES OF REIMBURSEMENT Insurance Types of Health Insurance Clinical Oversight Entitlements REIMBURSEMENT METHODOLOGIES FEE FOR SERVICE DISCOUNTED FEE FOR…

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Statistics

Mar 15, 2017 by in NURSING Comments Off on Statistics

Chapter 10 Statistics Nadinia Davis Chapter Outline ORGANIZED COLLECTION OF DATA Primary and Secondary Data Creation of a Database Data Review and Abstracting Data Quality Check DATA RETRIEVAL Retrieval of…

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Quality and Uses of Health Information

Mar 15, 2017 by in NURSING Comments Off on Quality and Uses of Health Information

Chapter 11 Quality and Uses of Health Information Melissa LaCour Chapter Outline USES OF HEALTH INFORMATION IMPROVING PATIENT CARE SUPPORT AND COLLECTION OF REIMBURSEMENT LICENSURE, ACCREDITATION, AND CERTIFICATION ADMINISTRATION PREVALENCE…

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Collecting Health Care Data

Mar 15, 2017 by in NURSING Comments Off on Collecting Health Care Data

Chapter 2 Collecting Health Care Data Nadinia Davis Chapter Outline BASIC CONCEPTS Health Data Information Health Data Health Information KEY DATA CATEGORIES Demographic Data Socioeconomic Data Financial Data Clinical Data…

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Health Care Delivery Systems

Mar 15, 2017 by in NURSING Comments Off on Health Care Delivery Systems

Chapter 1 Health Care Delivery Systems Nadinia Davis Chapter Outline HEALTH CARE PROFESSIONALS Physicians Nurses Allied Health Professionals Professional Organizations Health Information Management Interdisciplinary Collaboration COMPARISON OF FACILITIES Types of…

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