Post a 250- to 300-word response in which you explain, in your own words, how HIPAA, ICD, CPT, and HCPCS influence each of the ten steps of the medical billing process.
Final Project: How HIPAA Violations Affect the Medical Billing Process Part One:
Resources: Appendix A, Appendix C, and Table 8.3 on pp. 258–259 of Medical Insurance
Refer to Table 8.3 on pp. 258–259 of your text to complete the CMS-1500 form, located in Appendix C, according to the following case study:
A 67-year-old Medicare patient presents to the office, exhibiting symptoms of HIV infection. After detailed examination, symptoms are determined to be advanced AIDS with manifestation of Kaposi’s sarcoma and other opportunistic infections.
Name: James Brown
Account Number: 080811
Policy Number: 1098765
ID number: 12345678910
Insured: James Brown
Address: 1600 Pennsylvania Ave.
Wash. D.C. 60000
Marital Status: Widowed
Patient’s Employer: Retired
Nature of Condition: HIV, AIDS, Kaposi’s sarcoma
Date of Illness: 06/01/2007
Referring Physician: Thomas Glassman, M.D.
Physician ID: 1080808080
Federal Tax ID: 5551116679
Dates of Service: 06/01/2007, 06/15/2007, 07/07/2007, 08/01/2007
Procedure: Detailed examination, screening blood panel, pathology services
* Include ICD (categories only), CPT, HCPCS, and insurance information. * If you believe there is insufficient information provided to fill a required field with data, indicate this by typing N/A.
Post the completed CMS-1500 form as an attachment.
Final Project: How HIPAA Violations Affect the Medical Billing Process Part Two:
Write a 1,500- to 1,750-word essay in which you discuss implications of both forms of the patient’s diseases, HIV and AIDS, from the perspective of HIPAA confidentiality. Include the following in your essay:
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