The Organization Responsible For Updating Cpt Codes Is
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Insurance Handbook for the Medical Office - E-Book
Author: Marilyn Fordney
language: en
Publisher: Elsevier Health Sciences
Release Date: 2015-12-08
Stay up on the latest 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 the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that assist you in accurately 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 latest practices and protocols of the profession. Key terms are defined and emphasized throughout the text to reinforce understanding of new concepts and terminology. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout the text highlights important HIPAA compliance issues to ensure readers are compliant with the latest 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 focus 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.
DSM-IV-TR in Action
Author: Sophia F. Dziegielewski
language: en
Publisher: John Wiley & Sons
Release Date: 2013-12-17
Preceded by: DSM-IV-TR in action / Sophia F. Dziegielewski. 2nd ed. 2010.
Fordney's Medical Insurance and Billing - E-Book
Author: Linda M. Smith
language: en
Publisher: Elsevier Health Sciences
Release Date: 2024-08-07
Gain the skills you need to succeed in insurance coding and billing! Fordney's Medical Insurance and Billing, 17th Edition helps you master the insurance billing specialist's role and responsibilities in areas such as diagnostic coding, procedural coding, HCPCs coding, medical documentation, billing, and collection. Using clear explanations, this book covers all types of insurance coverage commonly encountered in hospitals, physicians' offices, and clinics. Step-by-step guidelines lead you through the submission of electronic claims and paper claims, as well as the job search and professional advancement. Written by coding specialist and educator Linda M. Smith, this market-leading text is a complete guide to becoming an efficient insurance billing specialist. - NEW HCPCs Coding chapter covers ambulance billing, supply billing, and certificates of medical necessity. - NEW! Content on professionalism includes customer service, conflict management, diversity awareness, leadership, and other competencies to help you become an effective, engaged, and highly functioning employee. - NEW! Additional content on medical decision making helps you select the appropriate evaluation and management codes under the current documentation guidelines. - NEW! Additional examples of CMS claims include those from Blue Shield and Automobile Insurance. - NEW! Updates to credentialing include those specific to Medicare, Medicaid, and Workers' Compensation. - Coverage of medical documentation, diagnostic coding, and procedural coding provides you with the foundation and skills needed to work in a physician's office as well as ambulatory and inpatient settings. - Coverage of the role and responsibilities of the insurance billing specialist emphasizes advanced job opportunities and certification. - Chapter on HIPAA compliance as well as Compliance Alerts highlight important HIPAA compliance issues and the latest regulations. - Step-by-step procedures detail common responsibilities of the insurance billing specialist and coder. - Key terms and abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology. - Color-coded icons denote and clarify information, rules, and regulations for each type of payer. - Insights From The Field includes more interviews with experienced insurance billing specialists, providing a snapshot of their career paths and offering advice to the new student. - Scenario boxes help you apply concepts to real-world situations. - Quick Review sections summarize chapter content and also include review questions. - Student Software Challenge on the Evolve website allows you to practice filling out interactive CMS-1500 forms.