Workbook for Fordney's Medical Insurance

Unit One:: Career Role and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security and HIPAA 3. Compliance, Fraud and Abuse

Unit Two:: Introduction to the Revenue Cycle Process 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 Three:: Documentation and Coding 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. Office and Insurance Collection Strategies

Unit Six:: Healthcare Facility Billing 18. Ambulatory Surgical Center 19. Hospital Outpatient and Inpatient Billing    Unit Seven:: Employment 20. Seeking a Job and Attaining Professional Advancement