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

• NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides the student with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.　
• NEW! 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 reflects changes to the main text.
• Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology your students need to know.
• Performance objectives make learning easy by highlighting what students need to accomplish in each chapter.　
• Study outlines focus review by listing key points for each chapter.
• Self-study exercises – including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions – help your students practice important concepts.
• Critical Thinking Assignments in the form of short, real-world vignettes prepare students for working in a real medical office and allow students to apply theory learned from the textbook.

• NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.　　
• NEW! 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 reflects changes to the main text.

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