Solution Manual for Fordney’s Medical Insurance, 15th Edition, Linda Smith,

Solution Manual for Fordney’s Medical Insurance, 15th Edition, Linda Smith,

Table of Contents

Unit One: Career Role and Responsibilities

1. Role of an Insurance Billing Specialist

2. Privacy, Security and HIPAA

3. Compliance, Fraud and Abuse

Unit Two: Introduction to the Revenue Cycle Process

4. Basics of Health Insurance

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

6. Medicare

7. Medicaid and other State Programs

8. Tricare and Veterans’ Health Care

9. Workers’ Compensation

10. Disability Income Insurance and Disability Benefit Programs

Unit Three: Documentation and Coding

11. Medical Documentation and the Electronic Health Record

12. Diagnostic Coding

13. Procedural Coding

Unit Four: Claims Submission in The Medical Office

14. The Paper Claim CMS-1500

15. The Electronic Claim

Unit Five: The Claim Follow Up and Payment Process

16. Receiving Payments and Insurance Problem Solving

17. Office and Insurance Collection Strategies

Unit Six: Healthcare Facility Billing

18. Ambulatory Surgical Center

19. Hospital Outpatient and Inpatient Billing

Unit Seven: Employment

20. Seeking a Job and Attaining Professional Advancement