Fordney's Medical Insurance (häftad)
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Format
Häftad (Paperback)
Språk
Engelska
Antal sidor
544
Utgivningsdatum
2019-04-04
Upplaga
15
Illustrationer
Approx. 240 illustrations (210 in full color)
Dimensioner
285 x 222 x 19 mm
Vikt
1115 g
Antal komponenter
1
ISBN
9780323594400
Fordney's Medical Insurance (häftad)

Fordney's Medical Insurance

Häftad Engelska, 2019-04-04
1039
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Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney's Medical Insurance equips you with the medical insurance skills you need to succeed in any of today's outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians' offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart for the Medical Office (SCMO) activities on the companion Evolve website give you the opportunity to practice using electronic medical records.
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Innehållsförteckning

Unit One: Career Role and Responsibilities

1. Role of an Insurance Billing Specialist

2. Privacy, Security and HIPAA

3. Compliance, Fraud and Abuse

Unit Two: Introduction to the Revenue Cycle Process

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

10. Disability Income Insurance and Disability Benefit Programs

Unit Three: Documentation and Coding

11. Medical Documentation and the Electronic Health Record

12. Diagnostic Coding

13. Procedural Coding

Unit Four: Claims Submission in The Medical Office

14. The Paper Claim CMS-1500

15. The Electronic Claim

Unit Five: The Claim Follow Up and Payment Process

16. Receiving Payments and Insurance Problem Solving

17. Office and Insurance Collection Strategies

Unit Six: Healthcare Facility Billing

18. Ambulatory Surgical Center

19. Hospital Outpatient and Inpatient Billing

Unit Seven: Employment

20. Seeking a Job and Attaining Professional Advancement