Evolve Resources for Fordney’s Medical Insurance and Billing, 17th Edition

UNIT 1: Career Roles and Responsibilities
1. Role of an Insurance Billing Specialist
2. Privacy, Security and HIPAA
3. Compliance, Fraud and Abuse
UNIT 2: Introduction to Heath Insurance
4. Basics of Health Insurance
5. The Blue Plans, Private Insurance and Managed Care Plans
6. Medicare
7. Medicaid
8. TRICARE and Veteran’s Health Care
9. Workers’ Compensation
10. Disability Income Insurance and Disability Benefit Program
UNIT 3: Documentation and Coding for Professional Services
11. Medical Documentation and the Electronic Health Record
12. Diagnostic Coding
13. Procedural Coding
14. HCPCs Coding NEW!
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, PCS, CMBS, Consultant/Educator, MedOffice Resources, Greene, New York.