Insurance Handbook for the Medical Office

ISBN-10: 1455733253
ISBN-13: 9781455733255
Edition: 13th 2013
Authors: Marilyn Fordney
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Description: 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  More...

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Book details

List price: $119.00
Edition: 13th
Copyright year: 2013
Publisher: Elsevier - Health Sciences Division
Publication date: 9/27/2013
Binding: Paperback
Pages: 680
Size: 9.00" wide x 11.00" long x 1.00" tall
Weight: 3.388
Language: English

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. 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.Updated coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013.Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date.Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form.Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office.

Ariana Franklin is a pen name used by Diana Norman. She is a British author and journalist writing historical fiction and non-fiction. She was born in Devon, England. She is married to the film critic Barry Norman.

Career Roles and Responsibilities
Role of an Insurance Billing Specialist
Compliance, Privacy, Fraud, and Abuse in Insurance Billing
The Claims Process
Basics of Health Insurance
Medical Documentation and the Electronic Health Record
Diagnostic Coding
Procedural Coding
The Paper Claim CMS-1500 (02-12)
The Electronic Claim
Receiving Payments and Insurance Problem-Solving
Office and Insurance Collection Strategies
Health Care Payers
The Blue Plans, Private Insurance, and Managed Care Plans
Medicare
Medicaid and Other State Programs
TRICARE and Veterans' Health Care
Workers' Compensation
Disability Income Insurance and Disability Benefit Programs
Inpatient and Outpatient Billing
Hospital Billing
Employment
Seeking a Job and Attaining Professional Advancement
Glossary
Key Abbreviations

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