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Author : Joanne Valerius
Publisher : Unknown
Page : 128 pages
File Size : 53,7 Mb
Release : 2011
Category : Electronic
ISBN : 1283392771
Author : Jill L. Brown
Publisher : Elsevier Health Sciences
Page : 554 pages
File Size : 46,9 Mb
Release : 2005-12-01
Category : Medical
ISBN : 9780721605562
This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding.A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process.Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care.Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations.Sidebars and Examples highlight key concepts and information related to the core text lesson.A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry.Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities.Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Author : Nenna L. Bayes, BA, MEd,Cynthia Newby, CPC,Amy L. Blochowiak, Instructor,Joanne Valerius, MPH, RHIA
Publisher : McGraw-Hill Education
Page : 0 pages
File Size : 48,6 Mb
Release : 2019-01-24
Category : Medical
ISBN : 1259608557
The Eighth edition of Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue cycle—ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process . The cycle shows how administrative medical professionals “follow the money .” Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation, which then ensures that offices receive maximum, appropriate reimbursement for services provided . Learn the skills you need for your health professions career using multiple digital resources . Read and study the content more effectively—spending more time on topics you don’t know and less time on the topics you do by using SmartBook®, McGraw-Hill Education’s revolutionary adaptive learning technology
Author : Linda M. Smith CPC CPC-1 CEMC PCS CMBS
Publisher : Unknown
Page : 0 pages
File Size : 41,6 Mb
Release : 2022-03-07
Category : Electronic
ISBN : 1974812812
Author : Marilyn Fordney
Publisher : Elsevier Health Sciences
Page : 576 pages
File Size : 53,6 Mb
Release : 2016-01-12
Category : Medical
ISBN : 9780323316941
Gain real-world practice in insurance billing and coding with Fordney’s Workbook for Insurance Handbook for the Medical Office, 14th Edition. This user-friendly workbook features realistic, hands-on exercises to help you apply concepts and develop critical thinking skills. Study tools include performance objectives, key terms, abbreviation lists, study outlines, critical thinking assignments, and more. Performance objectives are carried throughout the chapter to help users identify what needs to be accomplished for that chapter. Critical thinking assignments contains questions in the form of short, real-world vignettes to assist users in applying theory learned from the textbook. Self-study exercises include fill-in-the-blank, mix-and-match, multiple-choice, and true/false questions. Key terms and abbreviations lists at beginning of each chapter help to teach and reinforce new concepts and terminology. Study outlines covering the key points for each chapter in the textbook guide effective note taking during classroom lecture. NEW! Updated content reflects changes in the main text.
Author : Janet I. Beik
Publisher : Elsevier Health Sciences
Page : 440 pages
File Size : 40,5 Mb
Release : 2014-04-04
Category : Medical
ISBN : 9780323293334
Corresponding to the chapters in Health Insurance Today, 4th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and learning activities and exercises challenge you to apply your knowledge to real-world situations. Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Critical Thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Performance objectives include hands-on, application-based learning activities in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Chapter assessments test your knowledge of text content with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Application exercises ask you to apply your knowledge and skills to real-world situations. Defining Chapter Terms help you review and understand key terms in each chapter. Problem solving/collaborative (group) activities emphasize the importance of teamwork in the health care field. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform research online. NEW! Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. UPDATED! Medicare chapter reflects updates and changes from the new presidential administration.
Author : Marilyn Fordney
Publisher : Elsevier Health Sciences
Page : 683 pages
File Size : 54,9 Mb
Release : 2013-01-01
Category : Medical
ISBN : 9781455733255
A complete guide to insurance billing and coding, Insurance Handbook for the Medical Office, 13th Edition covers all the plans that are most commonly encountered in clinics and physicians' offices. Its emphasis on the role of the medical insurance specialist includes 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. This edition provides the latest on hot topics such as ICD-10, healthcare reform, the new CMS-1500 form, and electronic claims. Trusted for more than 30 years, this proven reference from Marilyn Fordney prepares you to succeed as a medical insurance professional in any outpatient setting. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments.Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology.Detailed tables, boxes, and illustrations call out key points and main ideas.Unique! Color-coded icons clarify information, rules, and regulations for different payers.An Evolve companion website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in.A workbook contains learning tips, practice exercises for key terms and abbreviations, review questions, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately. Updated coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013.Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date.Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form.Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office.
Author : Cynthia Newby,Joanne Valerius,Nenna Bayes,Janet Seggern
Publisher : McGraw-Hill Education
Page : 0 pages
File Size : 51,8 Mb
Release : 2011-01-12
Category : Medical
ISBN : 0077364333
Committed to the scientific investigation of human antiquity, this indispensable supplementary text uses interesting archaeological hoaxes, myths, and mysteries to show how we can truly know things about the past through science. Examples of fantastic findings support the carefully, logically, and entertainingly described flaws in the purported evidence. By placing wildly inaccurate claims within the context of the scientific method, Frauds, Myths, and Mysteries demonstrates how science approaches fascinating questions about human antiquity and, in so doing, shows where pseudoscience falls short.
Author : Marilyn Takahashi Fordney
Publisher : Unknown
Page : 676 pages
File Size : 41,9 Mb
Release : 2004
Category : CD-ROMs
ISBN : UCLA:L0087574208
A bestseller for over 25 years, this text helps users excel at all aspects of insurance billing: submitting, tracing, appealing, and transmitting claims. Its comprehensive coverage also includes important information on diagnostic coding, procedural coding, office and insurance collection strategies, Medicare, Managed Care, and more. This edition has been reviewed by industry experts and carefully updated to reflect recent changes in the industry - including the addition of special HIPAA Compliance Alerts throughout the book to help users comply with important governmental privacy regulations. Instructor resources are available; please contact your Elsevier sales representative for details. Icons help students identify each insurance payer with a specific color and graphic, making the learning process more effective. Emphasizes procedural (CPT and HCPCS) and diagnostic (ICD-9-CM) coding and documentation since they are the keystones to obtaining maximum reimbursement. Block-by-block teaching approach organized by payer category for the CMS-1500 claim form facilitates understanding, effective learning, and greater productivity. Detailed examples and samples of completed insurance forms help students see how knowledge is applied in the real world. Accompanying CD-ROM of practice software bound in the back of the book features the CMS-1500 claim form and 10 scored patient case studies with related insurance information to simulate real-life situations. Updated to reflect recent changes in the industry. Special sections highlight areas pertinent to HIPAA regulations.
Author : Linda M. Smith
Publisher : Elsevier Health Sciences
Page : 374 pages
File Size : 55,6 Mb
Release : 2021-12-13
Category : Medical
ISBN : 9780323810784
NEW! Additional procedures provide more practice, helping you remember the material.
Author : Linda Smith
Publisher : Elsevier Health Sciences
Page : 400 pages
File Size : 45,7 Mb
Release : 2019-01-31
Category : Medical
ISBN : 9780323594257
Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance, 15th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Additionally, this workbook helps you develop a better understanding of the differences among the insurance programs when completing and electronically transmitting the 837 P or the CMS-1500 paper claim. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter. Study outlines focus review by listing key points for each chapter. Self-study exercises – including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions – help you practice important concepts. Critical Thinking Assignments in the form of short, real-world vignettes prepare you for working in a real medical office and allow you to apply theory learned from the textbook. NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. NEW! Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding reflects changes to the main text.
Author : Linda Smith
Publisher : Saunders
Page : 400 pages
File Size : 54,7 Mb
Release : 2019-02-25
Category : Medical
ISBN : 0323594417
Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance, 15th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Additionally, this workbook helps you develop a better understanding of the differences among the insurance programs when completing and electronically transmitting the 837 P or the CMS-1500 paper claim. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter.? Study outlines focus review by listing key points for each chapter. Self-study exercises - including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions - help you practice important concepts. Critical Thinking Assignments in the form of short, real-world vignettes prepare you for working in a real medical office and allow you to apply theory learned from the textbook. NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting.?? NEW! Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting.? NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding reflects changes to the main text.
Author : Janet I. Beik AA BA MEd
Publisher : Unknown
Page : 432 pages
File Size : 51,9 Mb
Release : 2017-10-14
Category : Electronic
ISBN : 1974811360
Author : Marilyn Fordney
Publisher : Saunders
Page : 0 pages
File Size : 43,5 Mb
Release : 2009-09
Category : Health insurance
ISBN : 1437701329
Get the real-life practice you need to prepare for a successful career! Designed to support Fordney's Insurance Handbook for the Medical Office, 11th Edition, this workbook parallels the material in the textbook, and provides realistic, hands-on exercises that help you apply concepts and develop important critical-thinking skills. A companion Evolve website includes patient simulations for additional practice in real-world billing. Online Student Software Challenge contains 10 patient cases that you can use to complete the CMS-1500 claim form. Self-study review exercises include matching, true/false, multiple-choice, and fill-in-the-blank questions to help you remember important material. Critical-thinking assignments help you apply theory to practice, using short, real-world scenarios to prepare you for working in today's medical office. Key Terms and Key Abbreviations provide a quick reference to the insurance terminology you need to know. A study outline and performance objectives focus your review and ensure that you meet expected outcomes. Evolve resources include Student Software Challenge, online activities, and web links for further research and study. Learning objectives are reorganized to more closely follow the material in the textbook and the workbook, making it easier to study. New CMS-1500 software helps you complete exercises and practice skills quickly and easily.
Author : Linda M. Smith
Publisher : Unknown
Page : 0 pages
File Size : 49,7 Mb
Release : 2022-02-07
Category : Medical
ISBN : 0323810802
Self-study exercises reinforce your understanding with matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions, as well as critical thinking assignments. Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Study outlines focus your review by listing the key points for each chapter. Performance objectives make learning easier by highlighting what you need to accomplish in each chapter. Critical Thinking assignments are based on short, real-world vignettes, preparing you to work in a real medical office and allowing you to apply theory learned from the textbook. Updated mock fee schedules present the latest information available, for use in completing forms and activities. Expanded coverage of inpatient insurance billing includes ICD-10 coding and CMS coding, ensuring that you are prepared to work in healthcare facility settings as well as the physician's office and outpatient settings. Updated information on general compliance issues, HIPAA, the Affordable Care Act, and coding reflects changes to the Fordney's Medical Insurance and Billing, 16th Edition text. Ambulatory Surgery Center chapter provides the foundation and skills needed for billing in this outpatient setting. NEW! Additional procedures provide more practice, helping you remember the material.