Fordney's Medical Insurance and Billing

Authors:

Linda Smith

Brand: Saunders

ISBN: 9780323795357

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Description

Gain the medical insurance skills you need to succeed in todays outpatient and inpatient settings! Fordneys Medical Insurance and Billing, 16th Edition helps you master the insurance billing specialists role and responsibilities in areas such as diagnostic coding, procedural coding, billing, and collection. Using clear, easy-to-understand explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians offices, and clinics. Step-by-step guidelines lead you through medical documentation and administrative procedures. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.

Product Details

Brand Saunders

Reference 90716

EAN13 9780323795357

ISBN 9780323795357

Data sheet

Publication date: 2022
Issue number: 16
Cover: paperback
Pages count: 592
Dimensions (mm): 216 x 276
Weight (g): 1090

UNIT 1 Career Role and Responsibilities
1 Role of an Insurance Billing Specialist
2 Privacy, Security, and HIPAA
3 Compliance, Fraud, and Abuse
UNIT 2 Introduction to Health Insurance
4 Basics of Health Insurance
5 The Blue Plans, Private Insurance, and Managed Care Plans
6 Medicare
7 Medicaid and Other State Programs
8 TRICARE and Veterans Health Care
9 Workers Compensation
10 Disability Income Insurance and Disability Benefit Programs
UNIT 3 Documentation and Coding for Professional Services
11 Medical Documentation and the Electronic Health Record
12 Diagnostic Coding
13 Procedural Coding
UNIT 4 Claims Submission in the Medical Office
14 The Paper Claim CMS-1500
15 The Electronic Claim
UNIT 5 The Claim Follow-Up and Payment Process
16 Receiving Payments and Insurance Problem Solving
17 Collection Strategies
UNIT 6 Health Care Facility Billing
18 Introduction to Health Care Facilities and Ambulatory Surgery Centers
19 Billing for Health Care Facilities
UNIT 7 Employment
20 Seeking a Job and Attaining Professional Advancement

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