- 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.

- NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. - NEW! Expanded coverage of 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 ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.

- NEW! Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student. - NEW! Scenario boxes help you apply concepts to real-world situations. - NEW! Quick Review sections summarize chapter content and also include review questions. - NEW! Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter's content. - NEW! Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.

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.

NEW! Additional procedures provide more practice, helping you remember the material.

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.

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.

Confidently prepare for the migration to ICD-10-CM with help from the leader in coding education, Carol J. Buck! This easy-to-use reference presents the complete 2009 ICD-10-CM Official Guidelines for Coding and Reporting (OCGR) in a format designed by coders for coders to help you maintain optimal billing and reimbursement and ensure a smooth transition to ICD-10-CM. Carol J. Buck's proven, straightforward approach is accompanied by exclusive Netter's Anatomy artwork and a variety of helpful learning tools, giving you everything you need to code accurately and effectively and establish a solid foundation for your coding future. - Tabular and indexed presentation of the 2009 ICD-10-CM Official Guidelines for Coding and Reporting provides a comprehensive introduction to physician-based ICD-10-CM coding. - UNIQUE! Full-color Netter's Anatomy artwork clarifies complex anatomic information to help you appropriately code related procedures. - Detailed disease explanations provide additional insight on common diseases and conditions for heightened coding accuracy. - Symbols throughout the text alert you to new, revised, and deleted codes and clearly identify codes that require special consideration before assigning, such as nonspecific codes, includes and excludes, use additional, code first, and codes that cannot be assigned as principal diagnoses. - Full-color photographs and illustrations enhance your comprehension of difficult terminology, diseases/conditions, and specific coding situations. - Companion Evolve Resources website provides instant access to coding updates as they develop, keeping you at the forefront of the evolving medical coding field. - New coverage of ICD-10-CM codes prepares users for the new code set which will replace ICD-9-CM Volumes 1 & 2 for physician outpatient coding in 2013.

**Selected for Doody's Core Titles® 2024 in Medical Assisting** More than any other product on the market, the most successful medical assistants begin their careers with Kinn. Known for more than 65 years for its alignment with national curriculum standards, Kinn's The Administrative Medical Assistant: An Applied Learning Approach, 15th Edition teaches the real-world administrative skills essential for a career in the modern medical office — always with a focus on helping you apply what you've learned. This edition features new and expanded content on insurance, coding, privacy and security, telehealth logistics, and much more. With its approachable writing style appropriate for all levels of learners and a full continuum of separately sold adaptive solutions, EHR documentation experience, and HESI remediation and assessment, quickly master the leading skills to prepare for certification and a successful career in the dynamic and growing administrative medical assisting profession! - Step-by-step, illustrated procedures include rationales and a focus on professionalism. - Electronic health record (EHR) coverage provides access to hands-on activities using SimChart® for the Medical Office (sold separately). - Applied learning approach incorporates threaded case scenarios and critical thinking applications. - Patient education and legal and ethical features at the end of each chapter reinforce legal and communications implications within medical assisting practice. - Key vocabulary terms and definitions are presented at the beginning of each chapter, highlighted in text discussions, and summarized in a glossary for quick reference. - Robust Evolve companion website offers procedure videos, practice quizzes, mock certification exams, and interactive learning exercises. - NEW! Content aligns to 2022 Medical Assisting educational competencies. - NEW and UPDATED! Comprehensive coverage of all administrative functions complies with accreditation requirements and includes insurance, coding, privacy and security, telehealth logistics, and more. - NEW! Artwork familiarizes you with the modern medical office and equipment.