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Insurance Handbook for the Medical Office, 14e

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Description

Stay up on the up to date in insurance billing and coding with Marilyn Fordney’s Insurance Handbook for the Medical Office, 14th Edition. Trusted for more than 30 years, this market-leading handbook equips you to succeed as medical insurance specialist in any of today’s outpatient settings. Coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all of the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, in addition to icons for several types of payers, lists of key abbreviations, and a lot of practice exercises that assist you in correctly filling out claim forms. This new edition also features expanded coverage of ICD-10, electronic medical records, electronic claims submission, and the HIPAA 5010 ― keeping you one step ahead of the up to date practices and protocols of the profession.

  • Key terms are defined and emphasized all over the text to give a boost to understanding of new concepts and terminology.
  • Separate chapter on HIPAA Compliance in Insurance Billing, in addition to Compliance Alerts all over the text highlights important HIPAA compliance issues to verify readers are compliant with the up to date regulations.
  • Emphasis on the business of running a medical office and the importance of the medical insurance specialist details the importance of the medical insurance specialist in the business of the medical office.
  • Increased center of attention on electronic filing/claims submission prepares readers for the industry-wide transition to electronic claims submission.
  • Separate chapter on documentation in the medical office covers the principles of medical documentation and the rationales for it. 
  • Service to Patient features in most chapters offer examples of good customer service. 
  • User resources on the Evolve companion website feature performance checklists, self-assessment quizzes, the Student Software Challenge (with cases on different payer types and an interactive CMS-1500 (02-12) form to fill in).

  • NEW! Expanded coverage of ICD-10 prepares users to code ICD-10 with the planned effective date of October 2015.
  • NEW! Added information on the electronic medical record and electronic claims submission ― including information on the HIPAA 5010 ― equips users for the transition between paper and electronic methods of medical records and links the CMS-1500 (02-12) form to the electronic submissions process. 
  • NEW! SimChart for the Medical Office (SCMO) application activities on the companion Evolve website adds additional functionality to the insurance module on the SCMO roadmap.
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