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Stay up on the latest in insurance billing and coding with Marilyn Fordney’s Insurance Handbook for the Medical Office, 14th Edition. Trusted for more than 30 years, this market-leading handbook equips you to succeed as medical insurance specialist in any of today’s outpatient settings. Coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that assist you in accurately filling out claim forms. This new edition also features expanded coverage of ICD-10, electronic medical records, electronic claims submission, and the HIPAA 5010 — keeping you one step ahead of the latest practices and protocols of the profession.
Unit One: Career Roles and Responsibilities 1. Role of an Insurance Billing Specialist 2. HIPAA Compliance in Insurance Billing
Unit Two: The Claims Process 3. Basics of Health Insurance 4. Medical Documentation 5. Diagnostic Coding 6. Procedural Coding 7. The Paper Claim: CMS-1500 (02-12) 8. The Electronic Claim 9. Receiving Payments and Insurance Problem Solving 10. Office and Insurance Collection Strategies
Unit Three: Health Care Payers 11. The Blue Plans, Private Insurance and Managed Care Plans 12. Medicare 13. Medicaid and Other State Programs 14. TRICARE and CHAMPVA 15. Worker’s Compensation 16. Disability Income Insurance and Disability Benefit Insurance
Unit Four: Inpatient and Outpatient Billing 17. Hospital Billing
Unit Five: Employment 18. Seeking a Job and Attaining Professional Advancement