ai activity activity add-circle add-circle add-document add-new-comment add-solid-circle add-solid-circle add-to-cart add-to-cart add-users add-users airplay alarm alarm-clock alert alert-drug alert-drug alert-outline-circle alert-outline-square alert-outline-square alert-qsen alert-qsen alert-safety alert-safety alert-solid-circle alert-solid-circle alert-solid-square alert-solid-square alert-tornado alert-tornado alert-unexpected-error alert-unexpected-error alert-unsupported-browser alert-unsupported-browser alignment app-store app-switcher app-switcher apple approve-document archive arrow-down arrow-left arrow-right arrow-stat-up arrow-stat-up arrow-up article-in-press assessment-activity assessment-activity assignments assignments audio-slides backspace bicycle binocular blueprint blueprint book bookmark bookmarkoff bookmarkoff bookmarkon bookmarkon books box bubble-chart bullseye business-man business-phone calculator calendar calendar-empty calendar-empty calendar-not-available calendar-not-available call-center camera camera-film card-collapse card-collapse card-expand card-expand carrot case-study case-study caution charge-battery check-clipboard checkmark checkmark chevron-down chevron-down chevron-left chevron-left chevron-right chevron-right chevron-up chevron-up circle circle circle-map-view citatonbench clinical-trial clinical-trial clock clockwise clockwise close close close-quotes cloud cloud-download cloud-upload clouds coffee coffee coffee-bean coffee-not-available coffee-not-available colander collapse collapse column-left column-middle column-right columns comb comment compare-saved-versions compass computer computer-mouse confirmation-outline-circle confirmation-outline-circle confirmation-solid-circle confirmation-solid-circle connection contract countries-edit countries country-edit couple-of-people create-bibliography credit-card crop crop cursor cycle-question cycle-question cycle-square cycle-square database delete-document directions discussion discussion doc doc-file document-check document-check document-checked document-checked document-csv document-csv document-new document-new document-not-available document-not-available down-left down-right download drag draw-structure-new draw-structure-new drop duplicate-document dvd-player ebook ebook ebook-reading ebook-reading edit edit education-history eject ellipsis ellipsis-open elsevier elsevier email empowering-knowledge empty-cart emtree-taxonomy-browser epub eraser exam exam exe-file expand expand-2 expand-2 export-document export-profile-orcid eye-care eye-not-visible eye-not-visible eye-visible eye-visible facebook facebook failed-outline-circle failed-outline-square failed-solid-circle failed-solid-square fast-forward fax feedback-excited feedback-excited feedback-happy feedback-happy feedback-meh feedback-meh feedback-sad feedback-sad female-face file file filter finger-point-up finger-point-up flag flip-tile flip-tile flowchart flowchart folder folder-in folder-out folder-solid folder-solid forbidden fork fountain-pen fully-charged gif-file globe globe google-play grid group-of-people group-of-researchers hand hand hard-drive heart heart heart-solid heart-solid help-outline-circle help-solid-circle high-battery home home-institution hospital hot hot-tea hy-hart idea in-progress in-progress inbox information-outline-circle information-outline-square information-solid-circle information-solid-square instagram instagram institution institution-edit institution-ranking institutions institutions-edit interactive-case-insights journal jpg-file jump-to-first jump-to-first jump-to-last jump-to-last key lab-skills lab-skills label laptop layers leaf lesson lesson line-charts link linkedin linkedin list loading location lock log-in log-out low-battery male-face man map-location mastodon mastodon matrix-view measuring-cup medical-cross medium-battery menu menu merge microphone microwave minus minus-circle minus-circle minus-solid-circle minus-solid-circle mobi-file mobi-file mobile-phone mobipocket molecular-models moon move moving-box moving-box-down moving-box-up mp3-file multiple-layers musical-note nav-collapse nav-collapse nav-expand nav-expand navigate neuroimagery neutral-face newspaper no-editing no-smoking non-solus non-solus not-started not-started note note notebook notifications-disabled office-building open-book open-folder open-hand-right open-quotes orange outbox paperclip pause-hollow pause-hollow pause-solid pause-solid pdf-alternative pdf-file performance performance performance-not-available performance-not-available person phone phone-disabled picture pie-chart pill pin pixel play-hollow play-hollow play-solid play-solid play-video plus png-file pointing-left-up pointing-right ppt-2 ppt-2 ppt-file ppt-file printer-2 publication-set publication-sets radiology rainbow rainbow-2 rar-file rationale rationale record redo redo remove-document repeat research-area research-area-edit research-areas research-areas-edit researcher researcher-profile-needs-action researcher-profile-updated retweet rewind rotate rotate rows ruler ruler ruler-rotate ruler-rotate save-file scale-down scale-up schedule schedule search search-document secondary-result selection-panel-add selection-panel-remove send settings share share-2 shopping-cart shuffle simulation-nursing simulation-nursing skills-checklist skills-checklist skip-back skip-forward smartphone sort-asc sort-asc sort-default sort-default sort-desc sort-desc sound-high sound-low sound-medium sound-off spinner spinner standard standard star star-solid star-solid statistics stats stethoscope stop stop-gesture stopwatch strawberry structure structure study study subject-name-subcategory suitcase sun syllabus syllabus sync tables tablet teddy-bear teddy-bear temperature text-file thumbs-down thumbs-up tornado trash twitter twitter txt-file txt-file undo undo unlink unlock up-left up-right upload upwards-line-chart usb vector video-camera view-author-documents virtual-microscope warning warning webcam wheelchair woman wrench writing x x x-axis xls-file xls-file y-axis youtube youtube zip-file zoom-in zoom-out
lms folder add youtube facebook instagram google-plus link linkedin twitter
cover image - Fordney’s Medical Insurance - Elsevier eBook on VitalSource,15th Edition
ISBN: 9780323594288
Copyright: 2020
Publication Date: 02-25-2019
Page Count: 544
Imprint: Saunders
List Price: $124.99

Fordney’s Medical Insurance - Elsevier eBook on VitalSource, 15th Edition

by Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS

Elsevier eBook on VitalSource

cover image - Fordney’s Medical Insurance - Elsevier eBook on VitalSource,15th Edition
ISBN: 9780323594288
Copyright: 2020
Publication Date: 02-25-2019
Page Count: 544
Imprint: Saunders
List Price: $124.99
Most review copies are eBooks – how fast!
A review copy request is most likely to be fulfilled as an eBook on VitalSource rather than a print product, unless no eBook is available. eBooks become available in as little as a few hours. Print products will take between 7 and 10 days to arrive. To request a print copy, please contact us through the Evolve Support Center for further assistance or contact your Education Solutions Consultant.
An Access Code
Important note
This is a Faculty Product!
Any student who attempts to request a review copy will be reported to the school's faculty and administration.

Give students a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney’s Medical Insurance equips students with the medical insurance skills they need to succeed in any of today’s outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated 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 Insurance 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 accurately guide your students through the process of filling out claim forms. In addition, SimChart® for the Medical Office (SCMO) activities on the companion Evolve websitegive students the opportunity to practice using electronic medical records.

Newer Edition Available

16th Edition

Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource

Elsevier eBook on VitalSource
ISBN: 9780323810753
    • NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides the student with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.
    • NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides the student with the foundation and skills needed to work in this outpatient setting.
    • NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that the student is provided with the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.
    • UNIQUE! Interactive UB-04 Form filler on Evolve gives students additional practice with Electronic Health Records.
    • Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure students are compliant with the latest regulations.
    • Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation.
    • Increased focus on electronic filing/claims submission prepares students for the industry-wide transition to electronic claims submission.
    • Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares students for their role in the workplace.
    • Detailed examples of potential situations throughout text signal students to be attentive to these types of occurrences.
    • Specialized icons throughout text alert students to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of.
    • Procedures clearly outlined in step-by-step format detail common responsibilities of the medical insurance specialist.
    • SimChart® for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap.
    • Interactive UB-04 Form Filler provides practice with inpatient billing
    • Key terms are defined and emphasized throughout the text to reinforce student understanding of new concepts and terminology.
    • NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.
    • NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting.
    • NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.
  • 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

  • Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS, Consultant/Educator, MedOffice Resources, Greene, New York.
Most review copies are eBooks – how fast!
A review copy request is most likely to be fulfilled as an eBook on VitalSource rather than a print product, unless no eBook is available. eBooks become available in as little as a few hours. Print products will take between 7 and 10 days to arrive. To request a print copy, please contact us through the Evolve Support Center for further assistance or contact your Education Solutions Consultant.
An Access Code
Important note
This is a Faculty Product!
Any student who attempts to request a review copy will be reported to the school's faculty and administration.