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cover image - Medical Insurance Billing and Coding - Elsevier eBook on VitalSource
ISBN: 9781416068242
Page Count: 672
Imprint: Saunders
List Price: $65.95

Medical Insurance Billing and Coding - Elsevier eBook on VitalSource

by Marilyn Fordney, CMA-AC and Linda L. French, CMA-C, NCICS, CPC

Elsevier eBook on VitalSource

cover image - Medical Insurance Billing and Coding - Elsevier eBook on VitalSource
ISBN: 9781416068242
Page Count: 672
Imprint: Saunders
List Price: $65.95
Was $65.95
Now $62.65
Or $0.00 with a valid access code
Winner of the Text and Academic Authors Association's 2003 Textbook Excellence Award! This completely new full-color worktext presents all aspects of submitting, tracing, appealing, and transmitting claims for today's full range of health plans. Distilled from the comprehensive textbook, Fordney's Insurance Handbook for the Medical Office, this essentials text features a streamlined approach to key topics - including documentation in a medical office, Example boxes, colorful illustrations, and an appendix that uses color-coded payer icons to teach readers how to complete the HCFA-1500 form. Self-study workbook sections and practice exercises incorporated throughout the book make it easy to learn diagnostic coding, procedural coding, office and insurance collection strategies, Medicare considerations, and more. A companion CD-ROM and website offer additional practice and interactive learning opportunities!
    • Combined text and workbook format keeps the content self-contained and easy to manage.
    • Full-color format allows readers to identify colors and icons with individual payers, helping them to easily follow and learn specific payer rules and procedures.
    • An appendix of block-by-block coverage, with full-color examples of the HCFA-1500 insurance claim form, facilitates understanding and effective learning.
    • Photographs, quotes, and short biographies of real insurance billing specialists appear in each chapter, offering real-world perspectives on insurance billing.
    • A separate chapter on documentation in the medical office is devoted to this critical topic.
    • Exercise sections within the text encourage readers to stop and recall or apply what they've learned to help master key concepts.
  • Section I: Career and Professionalism
    Chapter 1 A Career as an Insurance Billing Specialist

    Section II: Basics of Health Insurance
    Chapter 2 Fundamentals of Health Insurance Coverage
    Chapter 3 Source Documents and the Insurance Claim Cycle

    Section III: Coding Insurance Claims
    Chapter 4 Coding Diagnoses
    Chapter 5 Coding Procedures Part I: Introduction to Evaluation and Management Services
    Chapter 6 Coding Procedures Part II: Anesthesia, Surgery, Radiology, Pathology/Laboratory, and Medicine

    Section IV: Claim Submission
    Chapter 7 Documentation and the Medical Record
    Chapter 8 The Health Insurance Claim Form: Completion and Submission
    Chapter 9 Fees: Private Insurance and Managed Care

    Section V: Insurance Programs
    Chapter 10 The Medicaid Program
    Chapter 11 The Medicare Program
    Chapter 12 The TRICARE and CHAMPVA Programs
    Chapter 13 Workers' Compensation Coverage and other Disability Programs

    Section VI: Receiving Payment and Problem Solving
    Chapter 14 Patient Billing and Credit/Collection Practices
    Chapter 15 Tracking Reimbursement and Simple Solutions to Unpaid Claims

    Appendices
    A College Clinic Medical Practice Simulation
    B College Clinic Mock Fee Schedule
    C Medicare's National HCPCS Level II Codes and Modifiers
    D HCFA-1500 Claim Form Instructions and Insurance Templates
    E Glossary
    F College Clinic Form File
    G Student Software Challenge Installation and Operating Instructions
  • Marilyn Fordney, CMA-AC, Formerly, Instructor of Medical Insurance, Medical Terminology, Medical Machine Transcription, and Medical Office Procedures, Ventura College, Ventura, CA and Linda L. French, CMA-C, NCICS, CPC, Business Consultant and Instructor of Medical Insurance Procedures and Medical Terminology, Simi Valley Adult School and Career Institute, Simi Valley, CA; Ventura College, Ventura, CA; Oxnard College, Oxnard, CA
Was $65.95
Now $62.65
Or $0.00 with a valid access code