Workbook for Insurance Handbook for the Medical Office, 12th Edition

Workbook for Insurance Handbook for the Medical Office

12nd Edition

By Marilyn Fordney, CMA-AC, Formerly, Instructor of Medical Insurance, Medical Terminology, Medical Machine Transcription, and Medical Office Procedures, Ventura College, Ventura, CA


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