Fordney's Medical Insurance and Billing, 17th Edition

Unit 1 Career Role and Responsibilities
1 Role of an Insurance Billing Specialist
2 Privacy, Security, and HIPAA
3 Compliance, Fraud, and Abuse
Unit 2 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 Veterans Health Care
9 Workers’ Compensation, Automobile, and Liability Insurance
10 Disability Income Insurance and Disability Benefit Programs
Unit 3 Documentation and Coding for Professional Services
11 Medical Documentation and the Electronic Health Record
12 ICD-10-CM Coding
13 CPT Coding
14 HCPCS Level II Coding
Unit 4 Claims Submission in the Medical Office
15 The Paper Claim CMS 1500
16 The Electronic Claim
Unit 5 Revenue Cycle Management
17 Receiving Payments and Insurance Problem-Solving
18 Collection Strategies
Unit 6 Health Care Facility Billing
19 Introduction to Health Care Facilities and Ambulatory Surgery Centers
20 Billing for Health Care Facilities
Unit 7 Employment
21 Seeking a Job and Attaining Professional Advancement

Key Abbreviations
Glossary
Index

Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS, Consultant/Educator, MedOffice Resources, Greene, New York.