Medical Insurance Administration

KSh 3,000.00

This book contain the following topics:

• Introduction to Medical Insurance Administration
• Insurance Policy Structures and Types
• Member Enrolment, Eligibility and Policy Management
• Medical Claims Processing and Adjudication
• Medical Coding and Billing Systems
• Provider Contracting and Network Management
• Fraud Detection, Prevention and Investigation in Medical Insurance
• Regulatory Compliance, Data Protection and Emerging Trends

Category: Certificate Level Book
Publisher: Finstock Evarsity Publishers
ISBN:
Authors: CPA John Kimani, Dr. James Scott
Pages: 144
Categories: ,

Description


Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.

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