January 18‚ 2013 HCR / 220 Page 1 Compliance plans are in place to insure the medical facilities are following any official requirements. Some areas which are included in a compliance plan are staff education and training‚ early detection of problems in the facility‚ and avoidance of negative legal actions. The steps in the medical billing process that are covered in a compliance plan are steps five reviewing coding compliance and step six check billing compliance. Medical
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University of Phoenix HCR/220 Eligibility‚ Payment‚ and Billing Procedures Checkpoint BreAwna Ingram June 7‚ 2012 Ms. Linda Eligibility‚ Payment‚ and Billing Procedures There are actually a few factors that determine a patient’s benefits eligibility‚ and some of these factors include whether or not coverage ends on the last day of the month where the particular employee’s active full-time service is over‚ and this employee may no longer qualify for insurance benefits. For example if
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The medical billing process is used by healthcare providers and insurance companies to submit and follow up on medical services in order to receive payment. There are ten steps to the medical billing process. These steps are made up of three categories: The visit‚ the claim‚ and post claim. Steps one through four occur during the first visit to the healthcare provider. Step on is pre-registering the patient. A schedule or an appointment update needs to be made to pre-register the patient. Insurance
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The patient intake process is gathering accurate information for billing and medical care for new and established patients. New patients are patients that have not been to the medical practice before or within three years. These new patients need to complete many forms before their first appointment with a physician. An established patient is a patient that has been to the practice and seen a provider within the past three years. Established patients review and update information that is on file
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How HIPAA Violations Affect the Medical Billing Process HCR/220 October 7‚ 2012 How HIPAA Violations Affect the Medical Billing Process In this paper we will discuss how HIPAA violations affect the medical billing process and why HIV and AIDS information is more sensitive than other types of health conditions. We will also examine the social‚ legal‚ and ethical ramifications of improper information disclosure. In 1996 on August 21‚ the Health Insurance Portability and Accountability
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How HIPAA Violations Affect The Medical Billing Process HCR/220 September 23. 2012 How HIPAA Violations Affect The Medical Billing Process HIV and AIDS are two very serious diseases which first came known and reported in the U.S. in 1981. Today it is estimated that 1.7 million people in the U.S. have been infected with HIV since that date 619‚000 people have already died from it. The CDC‚ (Center For Disease Control) estimates that every one in five people living with HIV‚ are unaware that
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Relating HIPPA‚ ICD‚ CPT and HCPCS to the Medical Billing Process Laura Alfonso HCR/220 November 27‚ 2010 Ronald Dearinger Relating HIPAA‚ ICD‚ CPT and HCPCS to the Medical Billing Process The medical billing and coding process involves ten steps that must be completed by office staff members of a medical facility in order to provide quality care while protecting the privacy of patients and hastening the payment of services. Step 1 The first step is pre-registration‚ during this step printed
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Batson When it comes to HIPAA‚ ICD‚ CPT‚ and HCPCS on how they influence each of the ten steps of the medical billing process‚ HIPAA influences the billing process by maintaining HIPAA compliance‚ as far as confidentiality and the handling of the medical record. When it comes to ICD‚ CPT‚ and HCPCS they influence the billing process they are the reference source where the codes are contained that are used to find the diagnosis‚ procedure‚ and the supply codes. But the HIPAA‚ ICD‚ CPT‚ and HCPCS they
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Running head: HOW HIPAA VIOLATIONS AFFECT THE MEDICAL BILLING How HIPAA Violations Affect the Medical Billing Process Brenda Beaver Axia Of UOP How HIPAA Violations Affect the Medical Billing Process HIPAA confidentiality is important for very patient but for some reasons when they hear someone has HIV or AIDS it gives them the right to talk about it with others which have no reason to know. I will show why it is so important to be sensitive to this type of health conditions. Will examine
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Insurance Portability and Accountability Act The Health Insurance Portability and Accountability Act of 1996 (HIPAA)‚ was implemented by the Congress in order to improve access to health insurance‚ to promote standardization and efficiency in the healthcare industry‚ and to offer nationally standardized protections for individual health information The HIPAA Privacy Rule The HIPAA Privacy Rule was created so that the patients’ health information is protected and released only with the patients’
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