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HCR 220 week 9 checkpoint

HCR 220 week 9 checkpoint - does not provide information...

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There are ten steps involved in the medical billing process; preregister patients, establish financial responsibility for the visit, check in patients, check out patients, review coding compliance, check billing compliance, prepare and transmit claims, monitor payer adjudication, generate patient statements, and follow up patient payments and handle collections. The medical billing process is used in an effort to submit claims to insurance companies in order to receive payment for services provided to a patient by a doctor. HIPAA, ICD, CPT, and HCPCS have an important role in each of the ten steps of the medical billing process. ICD-9 code is three digits, which might be followed by a decimal point with two additional digits. The Healthcare Common procedure coding system (HCPCS) provides information in the procedure area, but it
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Unformatted text preview: does not provide information regarding the diagnosis. HIPAA requires that ICD-9 procedure codes are necessary for reporting procedures for hospital inpatients. HCPCS codes are used for process treatment by physicians and hospitals for outpatient services. The codes are assigned by a team to the numerical codes for CPT and the diagnostic code based on the description given by the provider. A charge is then created according to the billing rules pertaining to specific carriers and locations. All medical personnel and representatives working within the medical billing process must keep all patients information confidential according to the rules of HIPAA and be honest, truthful and act with integrity. In order to delay payments all diagnosis and procedures must be accurately documented and coded correctly....
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