Summary: Evaluating Compliance Strategies

Heather Henderson HCR 220 Week 7 Assignment: Evaluating Compliance Strategies

Medical billing and coding is a lot more detailed and difficult that many people outside of the medical field know. Because there are so many different codes and the numbers of different insurance companies, Medicare and Medicaid all have different codes among themselves it can become overwhelming for the billing staff in offices to make sure that everything is right. Unfortunately all the codes have to be correct in order for doctors and hospitals to get paid in a timely manner. All medical billing is started the same way though. A patient comes in to the doctor’s office and checks in. At this time, the front desk asks if they have insurance
This can be overwhelming, and the biggest complaint insurance companies make is that the records are incomplete and are returned for further information. This can lead to more cost and time for everyone involved. Most offices have staff meetings to make sure that all members have the correct and up to date coding manuals and that they understand how to use them. Insurance companies have also started to spend a lot of time and money on these staff meetings as well. One main goal is to evaluate the resources used by the billing staff as well as general understanding of the billing codes and that they know how to fill out forms completely and correctly. Some of these meeting have started to take place on webcams and emails rather than actual meeting places. This allows staff members to complete the seminar in their own time and doesn’t take a whole day away from the
If everyone slowed down and took more time some of the mistakes such as overbilling could become less of a mistake. Everything is linked together in the medical billing and coding field and they are the ones that are responsible for making sure that bills are being paid and collecting money from where ever it may need to be collected from. This is a bid responsibility and should not be taken