Workbook for Fordney’s Medical Insurance and Billing - Edition 17 - By Linda M. Smith, CPC, CPC-1, CEMC, CMBS Elsevier Health Inspection Copies

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Workbook for Fordney’s Medical Insurance and Billing,

Edition 17

By Linda M. Smith, CPC, CPC-1, CEMC, CMBS

Publication Date: 27 Nov 2024

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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, 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.

Key Features

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

About the author

By Linda M. Smith, CPC, CPC-1, CEMC, CMBS, Training and Consulting, MedOffice Resources, Greene, NY, USA

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

ISBN: 9780443109430

Page Count: 400

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