Fordney's Medical Insurance and Billing

129.59 LEI

143.99 LEI

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Gain the medical insurance skills you need to succeed in todayâs outpatient and inpatient settings!

Fordney's Medical Insurance and Billing, 16th Edition helps you master the insurance billing specialistâs role and responsibilities in areas such as diagnostic coding, procedural coding, billing, and collection.

Using clear, easy-to-understand explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physiciansâ offices, and clinics.

Step-by-step guidelines lead you through medical documentation and administrative procedures.

Written by coding specialist and educator Linda M.

Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.

Coverage of medical documentation, diagnostic coding, and procedural coding provides you with the foundation and skills needed to work in a physician’s office as well as outpatient and inpatient settings.
Coverage of the role and responsibilities of the insurance billing specialist emphasizes advanced job opportunities and certification.
Step-by-step procedures detail common responsibilities of the insurance billing specialist and coder.
Key terms and abbreviationsare defined and emphasized, reinforcing your understanding of new concepts and terminology.
Color-coded icons denote and clarify information, rules, and regulations for each type of payer.
Privacy, Security, and HIPAA chapter and Compliance Alerts throughout the book highlight important HIPAA compliance issues and regulations.
NEW!
Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student.
NEW!
Scenario boxes help you apply concepts to real-world situations.
NEW!
Quick Review sections summarize chapter content and also include review questions.
NEW!
Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter’s content.
NEW!
Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.

NEW!

Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student.

NEW!

Scenario boxes help you apply concepts to real-world situations.

NEW!

Quick Review sections summarize chapter content and also include review questions.

NEW!

Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapterâs content.

NEW!

Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.

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

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. Diagnostic Coding

13. Procedural Coding

UNIT 4 Claims Submission in the Medical Office

14. The Paper Claim CMS-1500

15. The Electronic Claim

UNIT 5 The Claim Follow-Up and Payment Process

16. Receiving Payments and Insurance Problem Solving

17. Collection Strategies

UNIT 6 Health Care Facility Billing

18. Introduction to Health Care Facilities and Ambulatory Surgery Centers

19. Billing for Health Care Facilities

UNIT 7 Employment

20. Seeking a Job and Attaining Professional Advancement

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Fordney's Medical Insurance and Billing

129.59 LEI

143.99 LEI

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