cover image - Workbook for Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource, 17th Edition
ISBN: 9780443110528
Copyright: 2026
Publication Date: 04-07-2025
Page Count: 400
Imprint: Saunders
List Price: $48.99

Workbook for Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource, 17th Edition

by Linda M. Smith, CPC, CPC-1, CEMC, CMBS and Cheryl Fassett

Elsevier eBook on VitalSource

cover image - Workbook for Fordney’s Medical Insurance and Billing - Elsevier eBook on VitalSource, 17th Edition
ISBN: 9780443110528
Copyright: 2026
Publication Date: 04-07-2025
Page Count: 400
Imprint: Saunders
List Price: $48.99
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Get the hands-on practice you need to master medical insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance and Billing, 17th Edition, this workbook provides realistic exercises that help you apply concepts and develop the skills needed by insurance billing specialists. Assignments ask you to complete common claim forms such as the CMS-1500 and the UB-04 by extracting information from patient records and accurately selecting procedural and diagnostic codes. This edition adds exercises on professionalism, HCPCS coding, and credentialing activities. With this practical workbook, you will make the most of your Fordney's textbook.
    • NEW HCPCS Coding chapter includes exercises for ambulance billing, supply billing, and more
    • NEW exercises on professionalism cover customer service, conflict management, diversity awareness, leadership, and other competencies to help you become an effective, engaged, and highly functioning employee
    • NEW exercises related to billing of automobile and liability insurance
    • 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
    • Diagnostic, procedural, and HCPCS code exercises provide practice with submitting a claim or making an itemized billing statement
    • 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
    • Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know
    • 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
  • 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
  • Linda M. Smith, CPC, CPC-1, CEMC, CMBS, Training and Consulting, MedOffice Resources, Greene, NY, USA and Cheryl Fassett
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