Insurance Handbook for the Medical Office book cover

Insurance Handbook for the Medical Office

A complete guide to the latest in insurance billing and coding, Insurance Handbook for the Medical Office, 12th Edition covers all the plans that are most commonly encountered in clinics and physicians' offices. An emphasis on the role of the medical insurance specialist prepares you for success in the workplace, including areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. Learning to fill in the claim form accurately is made easier by the use of icons for different types of payers, lists of key abbreviations, and numerous practice exercises. Written by insurance billing expert Marilyn Fordney, this comprehensive, market-leading resource has been trusted for more than 30 years.


Imprint: Saunders

ISBN: 978-1-4557-4058-1


  • Unit One: Career Role and Responsibilities

    1. Role of an Insurance Billing Specialist

    2. HIPAA Compliance and Privacy in Insurance Billing

    Unit Two: The Claims Process

    3. Basics of Health Insurance

    4. Medical Documentation

    5. Diagnostic Coding

    6. Procedural Coding

    7. The Paper Claim: CMS-1500

    8. Electronic Data Interchange: Transactions and Security

    9. Receiving Payments and Insurance Problem Solving

    10. Office and Insurance Collection Strategies

    Unit Three: Health Care Payers

    11. The Blue Plans, Private Insurance, and Managed Care Plans

    12. Medicare

    13. Medicaid and Other State Programs


    15. Workers' Compensation

    16. Disability Income Insurance and Disability Benefit Insurance

    Unit Four: Inpatient and Outpatient Billing

    17. Hospital Billing

    Unit Five: Employment

    18. Seeking a Job and Attaining Professional Advancement


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