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Workbook for Fordney’s Medical Insurance and Billing
- 17th Edition - November 20, 2024
- Author: Linda M. Smith
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 0 9 4 3 - 0
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 1 0 5 1 - 1
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, th… Read more
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Request a sales quoteGet 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 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
Tests
Appendix
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
Tests
Appendix
- No. of pages: 400
- Language: English
- Edition: 17
- Published: November 20, 2024
- Imprint: Saunders
- Paperback ISBN: 9780443109430
- eBook ISBN: 9780443110511
LS
Linda M. Smith
Linda M Smith is the author of Fordney’s Medical Insurance, 16e and its accompanying workbook and online course. She has revised 3 editions of HIPAA Online. She has had over 40 years of experience in the healthcare industry as a business manager and is a Certified Professional Coder (CPC). She has also earned the credentials of E/M Specialist (CEMC) and is an approved Professional Medical Coding Curriculum Instructor (CPC-I) through the American Academy of Professional Coders (AAPC). Linda provides training privately to local organizations and is an instructor with various business and technical schools. She and her associates provide training in the areas of medical ethics, medical terminology, anatomy and physiology, and medical coding and billing. They provide continuing education workshops for the organizations mentioned above.
Affiliations and expertise
Consultant/Educator, MedOffice Resources, Greene, New York.