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INSURANCE HANDBOOK FOR THE MEDICAL OFFICE
Insurance Handbook for the Medical Office
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Tenth Edition

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

Description
Trusted by medical insurance specialists for more than 30 years, Insurance Handbook for the Medical Office helps you excel at all aspects of insurance billing for a full range of today's health care plans. This edition helps you keep pace with industry changes, featuring the latest information on HIPAA regulations, diagnostic coding, procedural coding, office and insurance collection strategies, Medicare, and more. The accompanying Student Workbook with CD-ROM (sold separately) lets you practice "real world" billing with patient simulations using Altapoint and the Student Software Challenge.

Contents


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 Blues 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

18. Seeking a Job and Attaining Professional Advancement

Bibliographic details
Paperback, 736 pages, publication date: NOV-2007
ISBN-13: 978-1-4160-3666-1
ISBN-10: 1-4160-3666-0
Imprint: SAUNDERS


026/218
Last update: 25 Nov 2009
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