Insurance Handbook for the Medical Office book cover

Insurance Handbook for the Medical Office

A complete guide to insurance billing and coding, Insurance Handbook for the Medical Office, 13th Edition covers all the plans that are most commonly encountered in clinics and physicians’ offices. Its emphasis on the role of the medical insurance specialist includes 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. This edition provides the latest on hot topics such as ICD-10, healthcare reform, the new CMS-1500 form, and electronic claims. Trusted for more than 30 years, this proven reference from Marilyn Fordney prepares you to succeed as a medical insurance professional in any outpatient setting.

Paperback, 680 Pages

Published: September 2013

Imprint: Saunders

ISBN: 978-1-4557-3325-5


  • Unit 1: Career Roles and Responsibilities

    1. Role of an Insurance Billing Specialist

    2. Compliance, Privacy, Fraud, and Abuse in Insurance Billing

    Unit 2: The Claims Process

    3. Basics of Health Insurance

    4. Medical Documentation and the Electronic Health Record

    5. Diagnostic Coding

    6. Procedural Coding

    7. The Paper Claim CMS-1500 (02-12)

    8. The Electronic Claim

    9. Receiving Payments and Insurance Problem-Solving

    10. Office and Insurance Collection Strategies

    Unit 3: Health Care Payers

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

    12. Medicare

    13. Medicaid and Other State Programs

    14. TRICARE and Veterans' Health Care

    15. Workers’ Compensation

    16. Disability Income Insurance and Disability Benefit Programs

    Unit 4: Inpatient and Outpatient Billing

    17. Hospital Billing

    Unit 5: Employment

    18. Seeking a Job and Attaining Professional Advancement


    Key Abbreviations


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