"Overview of medical billing and coding compliance process" Essays and Research Papers

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    COMPUTERIZED MEDICAL RECORD AND BILLING SYSTEM PURPOSE The information contained in the medical record allows nurses and doctors to determine the patient’s medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient’s care. An increasing purpose of the medical record is to ensure documentation of compliance with institutional

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    Medical Records Documentation and Billing Medical Records Documentation and Billing Compliance plans are put into place to find‚ correct‚ and prevent illegal medical office practices. In correlation with medical records documentation standards‚ these plans eliminate the possibility of errors by training staff members who work with medial records including front office staff along with billers and coders. Steps five and six of the medical billing process are related to compliance plans

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    DB Billing

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    Week 6 DB Billing 2 Discuss why it is important for billers and coders to be familiar with software programs. Software programs like Epic‚ Centricity‚ AdvancedMD‚ Flash Code‚ Eclipse‚ and others have fields where coders can enter the correct procedure and diagnosis codes. These software programs may come with look-up tools that help coders find the correct code‚ but coders should always use their coding manuals to get the last word on which codes to use. The benefits of working with coding software

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    Overview: Fiserv‚ formed in July of 1984‚ became the leading United States Internet banking services provider and leader in electronic bill payment and presentment services upon acquiring CheckFree in 2007. In 2009 only a small portion of the company’s e-commerce revenue came from e-billing‚ whereas the majority came from electronic bill payment. E-billing‚ also called paperless billing‚ is a method in which financial intermediaries or other billers can send bills to their customers over the

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    Errors in Compliance

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    Errors and Compliance in Coding Lisa rosier HCR/220 August 20‚ 2010 Linda Murray Errors and Compliance in Coding Billing and coding is very important in medical facilities‚ not only to the facility but also the patients and their insurance carriers. Sometimes‚ mistakes are made during this process that can cause delay in payment or denial of a claim. One mistake made in coding is assumption coding. When

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    Coding Credentials

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    The CCA‚ the CCS and the CCS-P are the only coding credentials worldwide currently accredited by the National Commission for Certifying Agencies (NCCA). The CCA designation has been a nationally accepted standard of achievement in the health information management (HIM) field since 2002. CCA credential differentiates coders by exhibiting commitment and proving coding capabilities across all settings‚ this includes both hospitals and physician practices. The US Bureau of Labor Statistics estimates

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    following scenarios could be classified within code ranges 960–979? Patient has lethargy for unintentionally taking too much of her prescribed sleeping pill 10. A patient was admitted to the hospital with a deep burn to the dermis of the arm. For coding purposes‚ you would classify this condition as undeterminable until the physician clarified with more information Part B: 5.96. D. 933.1‚ 31577 5.97. E932.3‚ 43753 5.98. ICD-9-CM and CPT code(s): E015.2‚ 943.03‚ 948.1 5.99. ICD-9-CM and CPT code(s):

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    Purpose of Coding

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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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    Evaluating Compliance Strategies HCR/220 November 7‚ 2010 Evaluating Compliance Strategies This assignment will concentrate on medical billing‚ and compliance strategies‚ and the evaluation of these strategies. Many mistakes are made during the billing process‚ and some of the mistakes that are made could be caused by the strategies‚ and the processes themselves. In this essay I will offer a quick overview of the strategies‚ and an evaluation of these strategies. I will also offer my

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    Coding

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    LOCATION: Outpatient‚ Hospital PATIENT: Stan Hope SURGEON: Mohamad Almaz‚ MD PREOPERATIVE DIAGNOSIS: Left shoulder pain and numbness‚ past shoulder injury POSTOPERATIVE DIAGNOSIS: Normal shoulder PROCEDURE PERFORMED: Diagnostic arthroscopy‚ left shoulder CLINICAL HISTORY: This is a 57-year-old with a l0-year-old rotator cuff tear injury to his left shoulder. The patient does heavy lifting for a living. For the past 6 months the patient has been experiencing pain in this shoulder with

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