Workbook for Insurance Handbook for the Medical Office

By

  • Marilyn Fordney, CMA-AC, Formerly, Instructor of Medical Insurance, Medical Terminology, Medical Machine Transcription, and Medical Office Procedures, Ventura College, Ventura, CA

Get the real-life practice you need to prepare for a successful career! Designed to support Fordney’s Insurance Handbook for the Medical Office, 11th Edition, this workbook parallels the material in the textbook, and provides realistic, hands-on exercises that help you apply concepts and develop important critical-thinking skills. A companion Evolve website includes patient simulations for additional practice in real-world billing.
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Book information

  • Published: September 2009
  • Imprint: SAUNDERS
  • ISBN: 978-1-4377-0132-6


Table of Contents

Unit One: Career Roles 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 (08-05)

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

14. TRICARE and CHAMPVA

15. Workers’ Compensation

16. Disability Income Insurance and Disability Benefit Programs


Unit Four: Inpatient and Outpatient Billing

17. Hospital Billing


Unit Five: Employment

18. Seeking a Job and Attaining Professional Advancement