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

Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney’s Insurance Handbook for the Medical Office, 13th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments.
View full description

 

Book information

  • Published: September 2013
  • Imprint: SAUNDERS
  • ISBN: 978-1-4557-4811-2


Table of Contents

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
Tests
Appendix A:
College Clinic Office Policies and Mock Fee Schedule
Appendix B: Medicare Level II HCPCS Codes
Appendix C: ICD-10-PCS Section 0 Medical and Surgical, Character 3, Operation Definitions
Appendix D: ICD-10-PCS Section 0 Medical and Surgical, Character 5, Approach Definitions