Give students the hands-on practice they 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 students apply concepts and develop the skills needed by insurance billing specialists. Assignments allow students 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, your students will make the most of the Fordney's textbook!
NEW HCPCS Codingchapter includes exercises for ambulance billing, supply billing, and more
NEW exercises onprofessionalism cover customer service, conflict management, diversity awareness, leadership, and other competencies to help students become effective, engaged, and highly functioning employees
NEW exercises related to billing of automobile and liability insurance
Diagnostic, procedural, and HCPCS code exercises provide practice with submitting a claim or making an itemized billing statement
Self-study exercises reinforce student understanding with matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions, as well as critical thinking assignments
Study outlines focus review by listing the key points for each chapter
Performance objectives make learning easier by highlighting what students need to accomplish in each chapter
Key terms and abbreviations at the beginning of each chapter provide a quick reference to need-to-know health insurance terminology
Critical Thinking assignments are based on short, real-world vignettes, preparing students to work in a real medical office and allowing them to apply theory learned from the textbook
Answers to workbook assignments are provided in the instructor resources available on the Evolve website
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
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