Main description:

Get real-life practice in insurance billing and coding! Corresponding to the chapters in Fordney's Insurance Handbook for the Medical Office, 12th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop important critical-thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and workbook assignments. A companion Evolve website includes patient simulations for additional practice in real-world billing.

Online Student Software Challenge contains 10 patient cases that you can use to complete the CMS-1500 claim form.
Performance objectives make learning easier by highlighting what you need to accomplish in each chapter.
Key Terms and Key Abbreviations provide a quick reference to the health insurance terminology you need to know.
Study outline focuses your review by listing key points for each chapter in the textbook.
Self-study review exercises include matching, true/false, multiple-choice, and fill-in-the-blank questions to help you practice and remember important material.
Critical-thinking assignments help you apply theory to practice, using short, real-world scenarios to prepare you for working in today's medical office.
Evolve resources include the Student Software Challenge, self-assessment quizzes, and web links for further research and study.

Updated content ensures that you review and practice using the latest guidelines and regulations for insurance billing and coding.

Contents:

Unit One: Career Role and Responsibilities

1. Role of an Insurance Billing Specialist

2. HIPAA Compliance and Privacy in Insurance Billing

Unit Two: The Claims Process

3. Basics of Health Insurance

4. Medical Documentation

5. Diagnostic Coding

6. Procedural Coding

7. The Paper Claim: CMS-1500

8. Electronic Data Interchange: Transactions and Security

9. Receiving Payments and Insurance Problem Solving

10. Office and Insurance Collection Strategies

Unit Three: Health Care Payers

11. The Blue Plans, Private Insurance, and Managed Care Plans

12. Medicare

13. Medicaid and Other State Programs

14. TRICARE and CHAMPVA

15. Workers' Compensation

16. Disability Income Insurance and Disability Benefit Insurance

Unit Four: Inpatient and Outpatient Billing

17. Hospital Billing

Unit Five: Employment

18. Seeking a Job and Attaining Professional Advancement