Realistic, hands-on exercises prepare students to work effectively in the managed care environment with all types of insurance claims. Self-study review questions and complete, competency-based tests are presented. Easily removable sample practice forms are provided, as well as case study information and practice exercises. Available separately.

Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney’s Insurance Handbook for the Medical Office, 13th 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. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Critical thinking assignments help you connect theory to practice with real-world scenarios. Self-study exercises – including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions – help you practice important concepts. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter. Study outlines focus your review by listing key points for each chapter UPDATED content reflects changes in the text, ensuring you have the latest guidelines and regulations for medical insurance billing and coding available. UPDATED coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, meaningful use, and CPT 2013. NEW CMS-1500 (02-12) claim form includes block-by-block explanations and examples. UPDATED ICD-10 coding information prepares you for the ICD-10 transition. UPDATED self-assessment quizzes on Evolve test your knowledge of the material in each chapter. UPDATED guidelines for the filing and submission of electronic claims include sample screenshots, preparing you for the future of the medical office.

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.

A source of information for submitting, tracing, appealing and transmitting claims for the full range of health plans. The text places special emphasis on procedural and diagnostic coding and illustrates correct and incorrect CPT codes and appropriate versus inappropriate documentation. This student workbook is designed to accompany the main text, ISBN 0-7216-6987-5.

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.

The realistic, hands-on exercises in this workbook prepare students to work effectively in the managed care environment with all types of insurance claims. It presents self-study review questions and complete, competency-based tests. There are also easily removable sample practice forms, as well as case study information and practice exercises. Study icons help students identify and categorize assignment types (such as self-study, Internet assignments, and critical thinking exercises). New to this edition is a point system included in the workbook so that students can test themselves and gauge their understanding on a valued system. Emphasizes procedural (CPT and HCPCS) and diagnostic (ICD-9-CM) coding and documentation since they are the keystones to obtaining maximum reimbursement. Updated to reflect recent changes in the industry including more HIPAA Alerts throughout the text and a revised EDI chapter.