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Fordney's Medical Insurance and Billing. Edition: 16

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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.

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UNIT 1 Career Role and Responsibilities
1 Role of an Insurance Billing Specialist
2 Privacy, Security, and HIPAA
3 Compliance, Fraud, and Abuse
UNIT 2 Introduction to Health Insurance
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 3 Documentation and Coding for Professional Services
11 Medical Documentation and the Electronic Health Record
12 Diagnostic Coding
13 Procedural Coding
UNIT 4 Claims Submission in the Medical Office
14 The Paper Claim CMS-1500
15 The Electronic Claim
UNIT 5 The Claim Follow-Up and Payment Process
16 Receiving Payments and Insurance Problem Solving
17 Collection Strategies
UNIT 6 Health Care Facility Billing
18 Introduction to Health Care Facilities and Ambulatory Surgery Centers
19 Billing for Health Care Facilities
UNIT 7 Employment
20 Seeking a Job and Attaining Professional Advancement
    • SKU
      9780323795357
    • UPC/ISBN
      9780323795357
    • Stock Last Checked
      May 2, 2024
  • Manufacturer
    Elsevier
  • Publication Date
    Feb 8, 2022

Your Elsevier book orders are actioned within 48hrs during the working week. If any one item in your purchase is delayed we will send you what is in stock and will send on the remainder as soon as it arrives. This is provided at no additional shipping cost to you. Stock availability levels are updated on a daily basis.  We ship directly from a UK warehouse.

Manufactured on demand titles (Availability: MD) take an extra 3-5 working days.

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Books are delivered in the UK via DHL and will require a signature upon delivery.

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  • Print on demand titles take 3-5 working days.

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