Insurance Handbook for the Medical Office - 13th Edition - ISBN: 9781455733255, 9781455775606

Insurance Handbook for the Medical Office

13th Edition

Authors: Marilyn Fordney
eBook ISBN: 9781455775606
eBook ISBN: 9780323226806
Imprint: Saunders
Published Date: 27th September 2013
Page Count: 680

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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.

Key Features

  • Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments.
  • Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology.
  • Detailed tables, boxes, and illustrations call out key points and main ideas.
  • Unique! Color-coded icons clarify information, rules, and regulations for different payers.
  • An Evolve companion website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in.
  • A workbook contains learning tips, practice exercises for key terms and abbreviations, review questions, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately.

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


Key Abbreviations


No. of pages:
© Saunders 2014
eBook ISBN:
eBook ISBN:

About the Author

Marilyn Fordney

Affiliations and Expertise

Formerly, Instructor of Medical Insurance, Medical Terminology, Medical Machine Transcription, and Medical Office Procedures, Ventura College, Ventura, CA