Medical Billing 101, 1st Edition



Learn the basics of physician-based medical billing with Medical Billing 101. Clear and practical guidelines introduce you to the job responsibilities and basic processes comprising the medical billing world. Case studies and application tools offer you practice on actual forms to build confidence in your new knowledge and skills. This resource starts you off right on your journey to becoming a medical billing professional.

Additional Product Information

Features and Benefits

  • Includes real-world examples of forms such as EOBs, superbills, and denied claims.
  • Detailed claim filing instructions walk you through the CMS-1500 form field by field.
  • Case studies written for the CMS-1500 form allow you to perform billing for different physician service situations, including office visits and inpatient physician services
  • Free CD-ROM of additional case studies to practice entering billing information directly into the CMS-1500 form.

Table of Contents

Chapter 1: Your Job as a Physician-Based Medical Biller
Chapter 2: Health Insurance and the ID Card
Chapter 3: The Codes (CPT, HCPCS Level II, ICD-9 and Modifiers)
Chapter 4: The Forms (Patient Registration, Superbill, Hospital Sheet)
Chapter 5: The ‘Heart’ of Medical Billing-the CMS-1500 Form
Chapter 6: Billing for Office Procedures
Chapter 7: Billing for In-Patient and Nursing Facility Services
Chapter 8: Electronic Claims Submission and Clearinghouses
Chapter 9: EOBs and Payments
Chapter 10: Denials and Appeals
Chapter 11: Maintaining Accounts Receivables
Chapter 12: Collections and the State Insurance Commissioner
Chapter 13: Certification for the Physician-Based Medical Biller


All supplements have been updated in coordination with the main title. Select the main title's "About" tab, then select "What's New" for updates specific to title's edition.

For more information about these supplements, or to obtain them, contact your Learning Consultant.

Instructor Supplements

Instructor's Manual  (ISBN-10: 1418039764 | ISBN-13: 9781418039769)

Electronic Classroom Manager  (ISBN-10: 1418039772 | ISBN-13: 9781418039776)

This powerful electronic resource is an essential classroom tool. Free to adopters of the textbook, this thorough instructor resource includes everything you need to prepare for, teach, present, and test coding concepts.

Student Supplements

Medical Billing 101 (Book Only)  (ISBN-10: 1111318832 | ISBN-13: 9781111318833)

List Price = $139.95  | CengageBrain Price = $139.95  | College Bookstore Wholesale Price = $105.00

SimClaim  (ISBN-10: 1111535868 | ISBN-13: 9781111535865)

List Price = $67.95  | CengageBrain Price = $67.95  | College Bookstore Wholesale Price = $50.00

Meet the Author

Author Bio

Michelle M. Rimmer

Michelle M. Rimmer, Owner, ABA Therapy Billing Services, LLC has over 25 years' experience in the medical billing industry. She has taught numerous courses and seminars at three colleges in the state of New Jersey. Her passion for teaching medical billing led to the fruition of Michelle's first textbook, Medical Billing 101.