Gain the medical insurance skills you need to succeed in today’s outpatient and inpatient settings! Fordney's Medical Insurance and Billing, 16th Edition helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, billing, and collection. Using clear, non-technical explanations, this book covers all of the types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through medical documentation and administrative procedures. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.
1. Unit 2 Introduction to Health Insurance - p. 52 2. 4 Basics of Health Insurance - p. 54 3. 5 The Blue Plans, Private Insurance, and Managed Care Plans - p. 83 4. 6 Medicare - p. 103 5. 7 Medicaid and Other State Programs - p. 128 6. 8 TRICARE and Veterans’ Health Care - p. 142 7. 9 Workers’ Compensation - p. 162 8. 10 Disability Income Insurance and Disability Benefit Programs - p. 187 9. Unit 3 Documentation and Coding for Professional Services - p. 197 10. 11 Medical Documentation and the Electronic Health Record - p. 200 11. 12 Diagnostic Coding - p. 232 12. 13 Procedural Coding - p. 259 13. Unit 4 Claims Submission in the Medical Office - p. 294 14. 14 The Paper Claim CMS-1500 - p. 296 15. 15 The Electronic Claim - p. 340 16. Unit 5 Revenue Cycle Management - p. 360 17. 16 Receiving Payments and Insurance Problem Solving - p. 362 18. 17 Collection Strategies - p. 382 19. Unit 6 Health Care Facility Billing - p. 416 20. 18 Introduction to Health Care Facilities and Ambulatory Surgery Centers - p. 418 21. 19 Billing for Health Care Facilities - p. 441 22. Unit 7 Employment - p. 461 23. 20 Seeking a Job and Attaining Professional Advancement - p. 464 24. Key Abbreviations - p. 486 25. Glossary - p. 489 26. Index - p. 507
Gain the medical insurance skills you need to succeed in today’s outpatient and inpatient settings! Fordney's Medical Insurance and Billing, 16th Edition helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, billing, and collection. Using clear, non-technical explanations, this book covers all of the types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through medical documentation and administrative procedures. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.
1. Unit 2 Introduction to Health Insurance - p. 52 2. 4 Basics of Health Insurance - p. 54 3. 5 The Blue Plans, Private Insurance, and Managed Care Plans - p. 83 4. 6 Medicare - p. 103 5. 7 Medicaid and Other State Programs - p. 128 6. 8 TRICARE and Veterans’ Health Care - p. 142 7. 9 Workers’ Compensation - p. 162 8. 10 Disability Income Insurance and Disability Benefit Programs - p. 187 9. Unit 3 Documentation and Coding for Professional Services - p. 197 10. 11 Medical Documentation and the Electronic Health Record - p. 200 11. 12 Diagnostic Coding - p. 232 12. 13 Procedural Coding - p. 259 13. Unit 4 Claims Submission in the Medical Office - p. 294 14. 14 The Paper Claim CMS-1500 - p. 296 15. 15 The Electronic Claim - p. 340 16. Unit 5 Revenue Cycle Management - p. 360 17. 16 Receiving Payments and Insurance Problem Solving - p. 362 18. 17 Collection Strategies - p. 382 19. Unit 6 Health Care Facility Billing - p. 416 20. 18 Introduction to Health Care Facilities and Ambulatory Surgery Centers - p. 418 21. 19 Billing for Health Care Facilities - p. 441 22. Unit 7 Employment - p. 461 23. 20 Seeking a Job and Attaining Professional Advancement - p. 464 24. Key Abbreviations - p. 486 25. Glossary - p. 489 26. Index - p. 507
