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Gain real-world practice in insurance billing and coding with Fordney’s Workbook for Insurance Handbook for the Medical Office, 14th Edition. This user-friendly workbook features realistic, hands-on exercises to help you apply concepts and develop critical thinking skills. Study tools include performance objectives, key terms, abbreviation lists, study outlines, critical thinking assignments, and more.
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 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