Get the hands-on practice you need to master medical insurance billing and coding! Corresponding to the chapters in Fordneys Medical Insurance and Billing, 17th Edition, this workbook provides realistic exercises that help you apply concepts and develop the skills needed by insurance billing specialists. Assignments ask you to complete common claim forms such as the CMS-1500 and the UB-04 by extracting information from patient records and accurately selecting procedural and diagnostic codes. This edition adds exercises on professionalism, HCPCS coding, and credentialing activities. With this practical workbook, you will make the most of your Fordneys textbook.
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, Automobile, and Liability Insurance 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 ICD-10-CM Coding 13 CPT Coding 14 HCPCS Level II Coding Unit 4 Claims Submission in the Medical Office 15 The Paper Claim CMS 1500 16 The Electronic Claim Unit 5 Revenue Cycle Management 17 Receiving Payments and Insurance Problem-Solving 18 Collection Strategies Unit 6 Health Care Facility Billing 19 Introduction to Health Care Facilities and Ambulatory Surgery Centers 20 Billing for Health Care Facilities Unit 7 Employment 21 Seeking a Job and Attaining Professional Advancement