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OverviewGet hands-on practice in medical insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance and Billing, 16th Edition, this workbook provides realistic exercises that help you apply concepts and develop the critical thinking skills needed by insurance billing specialists. Review questions reinforce your understanding of your role and responsibilities, and assignments ask you to complete claim forms by extracting information from patient records and properly selecting procedural and diagnostic codes. Not only will you master the CMS-1500 and 837P claim forms, but you will understand each stage of an insurance claim. 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. Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. 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. 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. Updated mock fee schedules present the latest information available, for use in completing forms and activities. Expanded coverage of inpatient insurance billing includes ICD-10 coding and CMS coding, ensuring that you are prepared to work in healthcare facility settings as well as the physician's office and outpatient settings. Updated information on general compliance issues, HIPAA, the Affordable Care Act, and coding reflects changes to the Fordney's Medical Insurance and Billing, 16th Edition text. Ambulatory Surgery Center chapter provides the foundation and skills needed for billing in this outpatient setting. NEW! Additional procedures provide more practice, helping you remember the material. Full Product DetailsAuthor: Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS (Consultant/Educator, MedOffice Resources, Greene, New York.)Publisher: Elsevier - Health Sciences Division Imprint: Saunders Edition: 16th edition Weight: 0.660kg ISBN: 9780323795364ISBN 10: 0323795366 Pages: 376 Publication Date: 03 May 2022 Audience: College/higher education , Tertiary & Higher Education Replaced By: 9780443109430 Format: Paperback Publisher's Status: Active Availability: In stock  We have confirmation that this item is in stock with the supplier. It will be ordered in for you and dispatched immediately. Table of ContentsUnit One: Career Roles and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security and HIPAA 3. Compliance, Fraud and Abuse Unit Two: 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 Veteran's Health Care 9. Workers Compensation 10. Disability Income Insurance and Disability Benefit Insurance Unit Three: Documentation and Coding for Professional Services 11. Medical Documentation and the Electronic Health Record 12. Diagnostic Coding 13. Procedural Coding Unit Four: Claims Submission in the Medical Office 14. The Paper Claim CMS-1500 15. The Electronic Claim Unit Five: The Claim Follow-Up and Payment Process 16. Receiving Payments and Insurance Problem Solving 17. Collection Strategies Unit Six: Healthcare Facility Billing 18. Ambulatory Surgery Center 19. Hospital Outpatient and Inpatient Billing Unit Seven: Employment 20. Seeking a Job and Attaining Professional AdvancementReviewsAuthor InformationLinda 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. Tab Content 6Author Website:Countries AvailableAll regions |
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