Get the hands-on practice you need to master medical insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance and Billing, 17th Edition, this workbook provides realistic exercises that help you apply concepts and develop the skills needed by insurance billing specialists. Assignments ask you to complete common claim forms such as the CMS-1500 and the UB-04 by extracting information from patient records and accurately selecting procedural and diagnostic codes. This edition adds exercises on professionalism, HCPCS coding, and credentialing activities. With this practical workbook, you will make the most of your Fordney's textbook.
- NEW HCPCS Coding chapter includes exercises for ambulance billing, supply billing, and more.
- NEW exercises on professionalism cover customer service, conflict management, diversity awareness, leadership, and other competencies to help you become an effective, engaged, and highly functioning employee.
- NEW exercises related to billing of automobile and liability insurance.
- Self-study exercises reinforce your understanding with matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions, as well as critical thinking assignments.
- Diagnostic, procedural, and HCPCS code exercises provide practice with submitting a claim or making an itemized billing statement.
- Study outlines focus your review by listing the key points for each chapter.
- Performance objectives make learning easier by highlighting what you need to accomplish in each chapter.
- Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know.
- Critical Thinking assignments are based on short, real-world vignettes, preparing you to work in a real medical office and allowing you to apply theory learned from the textbook.
Table of Contents
UNIT 1: Career Roles and Responsibilities1. Role of an Insurance Billing Specialist
2. Privacy, Security and HIPAA
3. Compliance, Fraud and Abuse
UNIT 2: Introduction to Heath Insurance
4. Basics of Health Insurance
5. The Blue Plans, Private Insurance and Managed Care Plans
6. Medicare
7. Medicaid
8. TRICARE and Veteran’s Health Care
9. Workers’ Compensation
10. Disability Income Insurance and Disability Benefit Program
UNIT 3: Documentation and Coding for Professional Services
11. Medical Documentation and the Electronic Health Record
12. Diagnostic Coding
13. Procedural Coding
14. HCPCS Coding NEW!
UNIT 4: Claims Submission in the Medical Office
15. The Paper Claim CMS-1500
16. The Electronic Claim
UNIT 5: Revenue Cycle Management
17. Receiving Payments and Insurance Problem Solving
18. Collection Strategies
UNIT 6: Health Care Facility Billing
19. Introduction to Health Care Facilities and Ambulatory Surgery Centers
20. Billing for Health Care Facilities
UNIT 7: Employment
21. Seeking a Job and Attaining Professional Advancement
Tests
Appendix
