Main description:

A complete guide to the latest in insurance billing and coding, Insurance Handbook for the Medical Office, 12th Edition covers all the plans that are most commonly encountered in clinics and physicians' offices. An emphasis on the role of the medical insurance specialist prepares you for success in the workplace, including 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. Written by insurance billing expert Marilyn Fordney, this comprehensive, market-leading resource has been trusted for more than 30 years.

Contents:

Unit 1: Career Roles and Responsibilities

1. Role of an Insurance Billing Specialist

2. Compliance, Privacy, Fraud, and Abuse in Insurance Billing

3. Basics of Health Insurance

4. Medical Documentation and the Electronic Health Record

5. Diagnostic Coding

6. Procedural Coding

7. The Paper Claim CMS-1500 (02-12)

8. The Electronic Claim

9. Receiving Payments and Insurance Problem-Solving

10. Office and Insurance Collection Strategies

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

12. Medicare

13. Medicaid and Other State Programs

14. TRICARE and Veterans' Health Care

15. Workers' Compensation

16. Disability Income Insurance and Disability Benefit Programs

17. Hospital Billing

18. Seeking a Job and Attaining Professional Advancement

Glossary

Key Abbreviations