Fordney's Medical Insurance and Billing, 17th Edition
Author :
By Linda M. Smith, CPC, CPC-1, CEMC, CMBS
Gain the skills you need to succeed in insurance coding and billing! Fordney’s Medical Insurance and Billing, 17th Editionhelps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, pr
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Gain the skills you need to succeed in insurance coding and billing! Fordney’s Medical Insurance and Billing, 17th Edition helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, HCPCs coding, medical documentation, billing, and collection. Using clear explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through the submission of electronic claims and paper claims, as well as the job search and professional advancement. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.
Gain the skills you need to succeed in insurance coding and billing! Fordney’s Medical Insurance and Billing, 17th Edition helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, HCPCs coding, medical documentation, billing, and collection. Using clear explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through the submission of electronic claims and paper claims, as well as the job search and professional advancement. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.
Key Features
NEW HCPCs Codingchapter covers ambulance billing, supply billing, and certificates of medical necessity
NEW! Content onprofessionalism includes customer service, conflict management, diversity awareness, leadership, and other competencies to help you become an effective, engaged, and highly functioning employee
NEW! Additional content on medical decision making helps you select the appropriate evaluation and management codes under the current documentation guidelines
NEW! Additional examples of CMS claims include those from Blue Shield and Automobile Insurance
NEW! Updates to credentialing include those specific to Medicare, Medicaid, and Workers’ Compensation
Coverage of medical documentation, diagnostic coding, and procedural coding provides you with the foundation and skills needed to work in a physician’s office as well as ambulatory and inpatient settings
Coverage of the roleand responsibilitiesof the insurance billing specialist emphasizes advanced job opportunities and certification
Chapter onHIPAA compliance as well as Compliance Alertshighlight important HIPAA compliance issues and the latest regulations
Step-by-step procedures detail common responsibilities of the insurance billing specialist and coder
Key terms and abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology
Color-coded icons denote and clarify information, rules, and regulations for each type of payer
Insights From The Field includes more interviews with experienced insurance billing specialists, providing a snapshot of their career paths and offering advice to the new student
Scenario boxes help you apply concepts to real-world situations
Quick Review sections summarize chapter content and also include review questions
Student Software Challengeon the Evolve website allows you to practice filling out interactive CMS-1500 forms
Author Information
By Linda M. Smith, CPC, CPC-1, CEMC, CMBS, Training and Consulting, MedOffice Resources, Greene, NY, USA
Unit 1 Career Role and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security, and HIPAA 3. Compliance, Fraud, and Abuse
Unit 2 Introduction to Health Insurance 4. Basics of Health Insurance 5. The Blue Plans, Private Insurance, and Managed Care Plans 6. Medicare 7. Medicaid and Other State Programs 8. TRICARE and Veterans Health Care 9. Workers’ Compensation, Automobile, and Liability Insurance 10. Disability Income Insurance and Disability Benefit Programs
Unit 3 Documentation and Coding for Professional Services 11. Medical Documentation and the Electronic Health Record 12. ICD-10-CM Coding 13. CPT Coding 14. HCPCS Level II Coding
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
https://www.elsevierhealth.com.au/fordneys-medical-insurance-and-billing-9780443108785.html315468Fordney's Medical Insurance and Billinghttps://secure-ecsd.elsevier.com/covers/80/Tango2/large/9780443108785.jpg143.37238.95AUDInStock/Books/Books/Books/Japan Titles/Product Format/Book/Product Format/Book/Product Format/Book50546644388722525503952631605936810593682459368291488653641826925145120593680959368235936828Gain the skills you need to succeed in insurance coding and billing! <b>Fordney’s Medical Insurance and Billing, 17th Edition</b><BR>helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, HCPCs coding, medical documentation, billing, and collection. Using clear explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through the submission of electronic claims and paper claims, as well as the job search and professional advancement. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist. Gain the skills you need to succeed in insurance coding and billing! <b>Fordney’s Medical Insurance and Billing, 17th Edition</b><BR>helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, HCPCs coding, medical documentation, billing, and collection. Using clear explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through the submission of electronic claims and paper claims, as well as the job search and professional advancement. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist.00add-to-cart97804431087852024ProfessionalBy Linda M. Smith, CPC, CPC-1, CEMC, CMBS202617Book216w x 276h (8.50" x 10.875")Saunders54431 Oct 2024Please allow 3-4 weeks for deliveryBy <STRONG>Linda M. Smith</STRONG>, CPC, CPC-1, CEMC, CMBS, Training and Consulting, MedOffice Resources, Greene, NY, USABooksBookUnited StatesNoYesYesNoNoPlease SelectPlease SelectNoNoPlease Select