Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney's Medical Insurance equips you with the medical insurance skills you need to succeed in any of today's outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians' offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart® for the Medical Office (SCMO) activities on the companion Evolve website give you the opportunity to practice using electronic medical records.
Smith
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Weitere Infos & Material
Unit One: Career Role and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security and HIPAA 3. Compliance, Fraud and Abuse
Unit Two: Introduction to the Revenue Cycle Process 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 Three: Documentation and Coding 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. Office and Insurance Collection Strategies
Unit Six: Healthcare Facility Billing 18. Ambulatory Surgical Center 19. Hospital Outpatient and Inpatient Billing Unit Seven: Employment 20. Seeking a Job and Attaining Professional Advancement
Smith, Linda
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.
