Show Notes
- Amazon USA Store: https://www.amazon.com/dp/0323795358?tag=9natree-20
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#CMS1500claimsubmission #Medicalnecessitydocumentation #HCPCSLevelIIcoding #MedicareandMedicaidbilling #Revenuecyclefollowup #Fordney039sMedicalInsuranceandBilling
Fordney's Medical Insurance and Billing by Linda M. Smith is a career-oriented medical billing and coding textbook for students preparing to work in physician offices, clinics, ambulatory surgery centers, and other health care settings. This edition explains the administrative path from a documented patient encounter to a submitted claim, insurer adjudication, payment posting, follow-up, and collection activity. Its scope joins insurance-plan knowledge with the operational skills that determine whether a claim is accurate, compliant, and payable. Coverage includes private insurance and managed care, Medicare, Medicaid, military and workers compensation programs, medical documentation, diagnostic and procedural coding, claims submission, and revenue-cycle follow-up. Rather than treating coding as an isolated lookup task, the text positions it within documentation requirements, payer rules, and office workflow. It also addresses the regulated context of billing through HIPAA, compliance, and fraud-and-abuse material. Practical learning features, including scenarios, reviews, and claim-form practice, make the book a structured introduction to the responsibilities of an insurance billing specialist.