Professional Organizations and Credentialing Examinations | The American Association Of Medical Assistants & TheAmerican Medical Billing Association Introduction Throughout the medical community there are a growing number of organizations whom offer certification exams for those looking to enter the medical assisting field or other allied health profession. Few of these organizations offer the high
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Medical Billing Process Brittany Campbell HCR/220 September 1‚ 2013 Lydia Cavieux There are ten steps included in the billing process and are used to help process the patient’s information from preregistration to the follow up payments. Each patient has the responsibility to pay for their services once they have received care from a facility by themselves or an insurance company. Many different health insurance companies that may help an individual cover their medical expenses or even pay
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University of Phoenix HCR/220 Describing CPT Coding Categories Check Point BreAwna Ingram June 21‚ 2012 Describing CPT Coding Categories The CPT codes have three categories‚ starting with Category I‚ then Category II‚ and Category III. There are key words associated with these three code categories which include “common‚” “optional‚” and “temporary‚” these key words help to make the coding process easier for employees to understand. Common codes are referred to when using Category I
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The Circle influenced Mae to becoming transparent; manipulating her into thinking it would make her a better person. “…They saw her as a role model and inspiration. And this felt good. This felt truly valuable to Mae” (Eggers 330). Mae began to base her value on the fact that she was being watched and what others saw and knew of her actions mattered to her‚ giving her the mindset that because she is under constant surveillance she is becoming a better person (Eggers330). Knowing that she is constantly
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The ICD-9 system was used assign codes to diagnoses and procedures. Effective on October 1‚ 2015‚ ICD-9 was replaced by ICD-10 diagnosis codes because it could not measure quality of care accurately. ICD-9 could not handle reimbursement claims because it was not developed for that. ICD-10 has the capability therefore ultimately will help in lowering coding errors and rejected reimbursement claims. The ICD-10 was put into place to assess the outcome of new procedures and emerging health care conditions
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The issue with the Health Insurance Portability and Accountability Act (HIPAA) and process of newsgathering has emerged with the advancement of social media and technology. HIPAA is a health information privacy law‚ passed in April 14‚ 2003‚ that protects individual’s personal records. HIPAA regulations are implemented in the Privacy‚ Security‚ and Enforcement Rules. Journalist and reporters are most affected by the HIPAA regulations and often limited to the type of information they are able to release
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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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System (HCPCS) are codes that are for reporting professional services‚ procedures and supplies. Included in that is medical equipment ‚ ambulance services‚ orthotics‚ supplies‚ medication and dental procedures. The HCPCS was developed by the Health Care Financing Administration in 1983. As of 2001 the HCFA is now Centers for Medicare and Medicaid Services (CMS). HCPCS is divided into two subsystems‚ Level I and Level II. Level I is CPT (Current Procedural Terminology) is used for medical procedures
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Social Media & HIPAA Jacqueline Ford Healthcare Compliance Increasing privacy violations is more evident than ever. Usage of Social Media to network between friends‚ colleagues‚ and family is at an all-time high. Cellphones or “smartphones” are used not only to communicate socially‚ but also professionally. More innovative are cellphones and portable tablets with high megapixel cameras built-in‚ to instantly share a real-time event(s). For example: a loved one delivering a baby; a witness
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The Changes between ICD-9 and ICD-10 code sets. Differences between ICD-10-CM and ICD-10-PCS code sets. How ICD-10 coding could affect patient encounters. How the transition will affect departments. Regulatory requirements. Quality Improvement. Clinical Documentation Improvement. The challenges and barriers of ICD-10-CM/PCS coding transitions. Create a checklist for the staff. The font or typeface I will use or script-like fonts around 14‚ in bold those
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