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cover image - Workbook for Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource,16th Edition
ISBN: 9780323810791
Publication Date: 02-03-2022
Page Count: 376
Imprint: Saunders
List Price: $40.99

Workbook for Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource, 16th Edition

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

Elsevier eBook on VitalSource

cover image - Workbook for Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource,16th Edition
ISBN: 9780323810791
Publication Date: 02-03-2022
Page Count: 376
Imprint: Saunders
Was $40.99

Now $38.94

Or $0.00 with a valid access code

Get hands-on practice in medical insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance and Billing, 16th Edition, this workbook provides realistic exercises that help you apply concepts and develop the critical thinking skills needed by insurance billing specialists. Review questions reinforce your understanding of your role and responsibilities, and assignments ask you to complete claim forms by extracting information from patient records and properly selecting procedural and diagnostic codes. Not only will you master the CMS-1500 and 837P claim forms, but you will understand each stage of an insurance claim.

    • Self-study exercises reinforce your understanding with matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions, as well as critical thinking assignments.
    • Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know.
    • Study outlines focus your review by listing the key points for each chapter.
    • Performance objectives make learning easier by highlighting what you need to accomplish in each chapter.
    • Critical Thinking assignments are based on short, real-world vignettes, preparing you to work in a real medical office and allowing you to apply theory learned from the textbook.
    • Updated mock fee schedules present the latest information available, for use in completing forms and activities.
    • Expanded coverage of inpatient insurance billing includes ICD-10 coding and CMS coding, ensuring that you are prepared to work in healthcare facility settings as well as the physician’s office and outpatient settings.
    • Updated information on general compliance issues, HIPAA, the Affordable Care Act, and coding reflects changes to the Fordney's Medical Insurance and Billing, 16th Edition text.
    • Ambulatory Surgery Center chapter provides the foundation and skills needed for billing in this outpatient setting.
    • NEW! Additional procedures provide more practice, helping you remember the material.
  • Unit One: Career Roles and Responsibilities

    1. Role of an Insurance Billing Specialist

    2. Privacy, Security and HIPAA

    3. Compliance, Fraud and Abuse

    Unit Two: Introduction to Health Insurance

    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 Veteran’s Health Care

    9. Workers Compensation

    10. Disability Income Insurance and Disability Benefit Insurance

    Unit Three: Documentation and Coding for Professional Services

    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. Collection Strategies

    Unit Six: Healthcare Facility Billing

    18. Ambulatory Surgery 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.
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