Workbook for Fordney's Medical Insurance and Billing

Authors:

Linda Smith

Brand: Saunders

ISBN: 9780323795364

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Description

Get hands-on practice in medical insurance billing and coding! Corresponding to the chapters in Fordneys Medical Insurance and Billing, 16th Edition, this workbook provides realistic exercises that help you apply concepts and develop the critical thinking skills needed by insurance billing specialists. Review questions reinforce your understanding of your role and responsibilities, and assignments ask you to complete claim forms by extracting information from patient records and properly selecting procedural and diagnostic codes. Not only will you master the CMS-1500 and 837P claim forms, but you will understand each stage of an insurance claim.

Product Details

Brand Saunders

Reference 91605

EAN13 9780323795364

ISBN 9780323795364

Data sheet

Publication date: 2022
Issue number: 16
Cover: paperback
Pages count: 376
Dimensions (mm): 216 x 276
Weight (g): 660

Unit One: Career Roles and Responsibilities

1. Role of an Insurance Billing Specialist

2. Privacy, Security and HIPAA

3. Compliance, Fraud and Abuse

Unit Two: 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 Insurance

Unit Three: Documentation and Coding for Professional Services

11. Medical Documentation and the Electronic Health Record

12. Diagnostic Coding

13. Procedural Coding

Unit Four: Claims Submission in the Medical Office

14. The Paper Claim CMS-1500

15. The Electronic Claim

Unit Five: The Claim Follow-Up and Payment Process

16. Receiving Payments and Insurance Problem Solving

17. Collection Strategies

Unit Six: Healthcare Facility Billing

18. Ambulatory Surgery Center

19. Hospital Outpatient and Inpatient Billing

Unit Seven: Employment

20. Seeking a Job and Attaining Professional Advancement

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