Insurance Handbook for the Medical Office - Pageburst E-Book on VitalSource (Retail Access Card), 11th Edition

Insurance Handbook for the Medical Office - Pageburst E-Book on VitalSource (Retail Access Card)

11th 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 Roles 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 (08-05)

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 Programs


Unit Four: Inpatient and Outpatient Billing

17. Hospital Billing


Unit Five: Employment

18. Seeking a Job and Attaining Professional Advancement