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Fordney's Medical Insurance and Billing by Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS (Consultant/Educator, MedOffice Resources, Greene, New York.) at Abbey's Bookshop,
Fordney's Medical Insurance and Billing
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Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS (Consultant/Educator, MedOffice Resources, Greene, New York.)

Fordney's Medical Insurance and Billing

Linda M. Smith, CPC, CPC-1, CEMC, PCS, CMBS (Consultant/Educator, MedOffice Resources, Greene, New York.)

$232

Paperback

Not in-store but you can order this
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English
Churchill Livingstone
17 October 2024
Medical insurance
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.

NEW HCPCs Coding chapter covers ambulance billing, supply billing, and certificates of medical necessity. NEW! Content on professionalism 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 role and responsibilities of the insurance billing specialist emphasizes advanced job opportunities and certification. Chapter on HIPAA compliance as well as Compliance Alerts highlight 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 Challenge on the Evolve website allows you to practice filling out interactive CMS-1500 forms.
By:  
Imprint:   Churchill Livingstone
Country of Publication:   United Kingdom
Edition:   17th edition
Dimensions:   Height: 276mm,  Width: 216mm, 
Weight:   450g
ISBN:   9780443108785
ISBN 10:   0443108781
Publication Date:  
Audience:   College/higher education ,  Primary
Format:   Paperback
Publisher's Status:   Active
UNIT 1: Career Roles and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security and HIPAA 3. Compliance, Fraud and Abuse UNIT 2: Introduction to Heath Insurance 4. Basics of Health Insurance 5. The Blue Plans, Private Insurance and Managed Care Plans 6. Medicare 7. Medicaid 8. TRICARE and Veteran’s Health Care 9. Workers’ Compensation 10. Disability Income Insurance and Disability Benefit Program UNIT 3: Documentation and Coding for Professional Services 11. Medical Documentation and the Electronic Health Record 12. Diagnostic Coding 13. Procedural Coding 14. HCPCs Coding NEW! 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

Linda M Smith is the author of Fordney's Medical Insurance, 16e and its accompanying workbook and online course. She has revised 3 editions of HIPAA Online. She has had over 40 years of experience in the healthcare industry as a business manager and is a Certified Professional Coder (CPC). She has also earned the credentials of E/M Specialist (CEMC) and is an approved Professional Medical Coding Curriculum Instructor (CPC-I) through the American Academy of Professional Coders (AAPC). Linda provides training privately to local organizations and is an instructor with various business and technical schools. She and her associates provide training in the areas of medical ethics, medical terminology, anatomy and physiology, and medical coding and billing. They provide continuing education workshops for the organizations mentioned above.

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