describe the patient’s condition‚ using terminology that includes either specific diagnoses and/or symptoms‚ problems‚ or reasons for the encounter. In the instance where a discrepancy is discovered‚ determining the first-listed diagnosis per the coding conventions of ICD-9-CM‚ as well as the general and disease-specific guidelines within ICD-9-CM‚ will have precedence over the outpatient guidelines. •In the outpatient setting‚ code all documented conditions that coexist at the time of the encounter
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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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------------------------------------------------- Purpose of Coding ------------------------------------------------- Purpose of Coding ICD-10-CM implementation date is set for October 1‚ 2014. ICD-10-CM implementation date is set for October 1‚ 2014. ICD-9-CM versus ICD-10-CM ICD-9-CM versus ICD-10-CM Purpose of coding Purpose of coding ICD-9 | ICD-10 | 3-7 characters in length | 3-7 characters in length | 13‚000 codes | 68‚000 codes | First digit can be alpha or numeric
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Medical Billing Fraud What is Medical Billing Fraud? It is an attempt to fraudulently obtain payments from insurance carriers. Medicare and Medicaid are the most susceptible to fraud because of their payment arrangements. Fraud in medical billing cost tax payers and medical providers millions of dollars annually. In 1996‚ HIPPA established the Health Care Fraud and Abuse Control Program (HCFAC) to help combat medical billing and health care fraud. Fraud is an act done with the knowledge that you
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ing Chapter I INTRODUCTION In the past generation‚ man’s work was too slow that caused too much time and effort to finish their work but now a days‚ it is easier‚ faster and more convenient because of technology. People are now living in a fast-paced way that one must learn to cope–up to become more competitive with the help of technology. And because of technology‚ many have shared their skills and knowledge to improve the technologies that are available to us these days. The
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Coding is the basis for revenue and reimbursement for healthcare facilities. When a health record is coded based on quality documentation‚ then that should allow for the maximum reimbursement by the third party payer to the facility. If the medical codes are entered correctly‚ the procedure or treatment is medically necessary‚ and preauthorized according to the insurance company then the claim should be approved. For example if a health record is coded for gram negative pneumonia and the documentation
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ENROLLMENT AND BILLING SYSTEM An Undergraduate Thesis Presented to The Computer Studies Division Cor Jesu College Digos City In Partial Fulfillment Of the requirement for the Degree Bachelor of Science in Information Technology (BSIT) By Neil Fajardo Roy Salvaleon Alfred Dumato Melchor Bayod MARCH 2015 COR JESU COLLEGE Sacred Heart Ave.‚ Digos City Province of Davao del Sur Philippines APPROVAL SHEET In partial fulfillment of the requirements for the degree of Bachelor of Science in Information
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The coding of DM can be difficult Learn to look for: Various manifestations Types—type 1 or type 2 Controlled or uncontrolled Default is type 2 DM if Type of diabetes mellitus not documented Use Z code for long-term use of insulin--Z79.4 Do not use Z code if insulin is temporarily given to control blood sugar In ICD-10-CM there are 5 category codes for diabetes mellitus: E08 Diabetes mellitus due to underlying condition (code underlying condition first) E09 Drug or chemical induced
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HIPAA Compliance If you are in the healthcare industry‚ you have probably heard some rumblings about the Health Insurance Portability and Accountability Act of 1996‚ coolly referred to as HIPAA. The word is your medical practice will have to be HIPAA compliant by April 2003‚ but you’re not exactly sure what this act mandates or how to accomplish it. In very basic terms‚ HIPAA has two primary components to which hospitals‚ health plans‚ healthcare "clearinghouses‚" and healthcare providers must
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Computerized Payroll System for GTZ Printing Press Conducted on S.Y 2008-2009(1st -2nd Semester) A Thesis Presented to the Faculty of Computer Science Department Asian Institute of Computer Studies Caloocan Branch In Partial Fulfillment of the Requirement for the Degree Bachelor of Science in Computer Science By: Santiago‚ Ma. Laarnie Ms. Cecilia P. Abaricia Adviser March 2009 Dedication I am find no words at my command to express
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