Fordneys Medical Insurance

Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance, 15th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Additionally, this workbook helps you develop a better understanding of the differences among the insurance programs when completing and electronically transmitting the 837 P or the CMS-1500 paper claim. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter.? Study outlines focus review by listing key points for each chapter. Self-study exercises - including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions - help you practice important concepts. Critical Thinking Assignments in the form of short, real-world vignettes prepare you for working in a real medical office and allow you to apply theory learned from the textbook. NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.?? NEW! Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting.? NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding reflects changes to the main text.

Over 7,500 terms, definitions, and acronyms for medical insurance, billing and coding (MIBC) make this the perfect pocket dictionary for both students and practitioners in the MIBC professions! With its small size and concise definitions, this dictionary is ideal for use in class and in the medical office. Practical, consistent alphabetical organization with no subentries and screened thumb tabs make it easy to find the information you need. Etymologies for most entries help you understand the origins of the terminology and build your professional vocabulary. A list of commonly used abbreviations printed in the front and back covers make this your go-to reference for everyday practice.

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. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure you are compliant with the latest regulations. Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation. Increased focus on electronic filing/claims submission prepares you for the industry-wide transition to electronic claims submission. Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares you for your role in the workplace. Detailed examples of potential situations throughout text signal you to be attentive to these types of occurrences. Specialized icons throughout text alert you to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of. Procedures clearly outline in step-by-step format detail common responsibilities of the medical insurance specialist. UNIQUE! Interactive UB-04 Form filler on Evolve gives you additional practice with inpatient Electronic Health Records. SimChart® for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap. Key terms are defined and emphasized throughout the text to reinforce your understanding of new concepts and terminology. NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.?? NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting.? NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.

A bestseller for over 25 years, this text helps users excel at all aspects of insurance billing: submitting, tracing, appealing, and transmitting claims. Its comprehensive coverage also includes important information on diagnostic coding, procedural coding, office and insurance collection strategies, Medicare, Managed Care, and more. This edition has been reviewed by industry experts and carefully updated to reflect recent changes in the industry - including the addition of special HIPAA Compliance Alerts throughout the book to help users comply with important governmental privacy regulations. Instructor resources are available; please contact your Elsevier sales representative for details. Icons help students identify each insurance payer with a specific color and graphic, making the learning process more effective. Emphasizes procedural (CPT and HCPCS) and diagnostic (ICD-9-CM) coding and documentation since they are the keystones to obtaining maximum reimbursement. Block-by-block teaching approach organized by payer category for the CMS-1500 claim form facilitates understanding, effective learning, and greater productivity. Detailed examples and samples of completed insurance forms help students see how knowledge is applied in the real world. Accompanying CD-ROM of practice software bound in the back of the book features the CMS-1500 claim form and 10 scored patient case studies with related insurance information to simulate real-life situations. Updated to reflect recent changes in the industry. Special sections highlight areas pertinent to HIPAA regulations.

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. UNIQUE! Interactive UB-04 Form filler on Evolve gives you additional practice with inpatient Electronic Health Records. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure you are compliant with the latest regulations. Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation. Increased focus on electronic filing/claims submission prepares you for the industry-wide transition to electronic claims submission. Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares you for your role in the workplace. Detailed examples of potential situations throughout text signal you to be attentive to these types of occurrences. Specialized icons throughout text alert you to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of. Procedures clearly outline in step-by-step format detail common responsibilities of the medical insurance specialist. SimChart® for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap. Key terms are defined and emphasized throughout the text to reinforce your understanding of new concepts and terminology. NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.

Gain the medical insurance skills you need to succeed in today’s outpatient and inpatient settings! Fordney's Medical Insurance and Billing, 16th Edition helps you master the insurance billing specialist’s role and responsibilities in areas such as diagnostic coding, procedural coding, billing, and collection. Using clear, easy-to-understand explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians’ offices, and clinics. Step-by-step guidelines lead you through medical documentation and administrative procedures. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist. 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 outpatient and inpatient settings. Coverage of the role and responsibilities of the insurance billing specialist emphasizes advanced job opportunities and certification. 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. Privacy, Security, and HIPAA chapter and Compliance Alerts throughout the book highlight important HIPAA compliance issues and regulations. UNIQUE! Interactive UB-04 Form filler on the Evolve website gives you additional practice with inpatient electronic health records. NEW! Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student. NEW! Scenario boxes help you apply concepts to real-world situations. NEW! Quick Review sections summarize chapter content and also include review questions. NEW! Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter’s content. NEW! Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.

Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance, 15th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Additionally, this workbook helps you develop a better understanding of the differences among the insurance programs when completing and electronically transmitting the 837 P or the CMS-1500 paper claim. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter. Study outlines focus review by listing key points for each chapter. Self-study exercises – including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions – help you practice important concepts. Critical Thinking Assignments in the form of short, real-world vignettes prepare you for working in a real medical office and allow you to apply theory learned from the textbook. NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. NEW! Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding reflects changes to the main text.