HCR 220 Week 7, Assignment - Evaluating Compliance Strategies

HCR 220 Week 7, Assignment - Evaluating Compliance Strategies

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Evaluating Compliance Strategies 1 HCR 220 Evaluating Compliance Strategies AXIA College of University of Phoenix Instructor:…………. . Date:……………. .
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Evaluating Compliance Strategies 2 There are pacific steps to go by in the medical billing and coding process. There are documentation that the doctors have to prepare and sign for all services provided. The next thing to do is post the medical codes and transactions for each patient seen by the doctor. All the claims have to be processed and must comply with all the rules of the policy because that is what the federal and state requires. It’s important to make sure everything is correct to avoid investigation of the doctor’s office for fraud (Valerius, Bayes, Newby and Seggern, 2008). Doctors depend on their personnel to process their medical bills properly, looking at the bills before they are submitted (Adams, Norman, and Burroughs, 2002). Many errors can occur in the medical billing process that is why it’s very important to be careful and be error free. Any mistakes that are made can cause rejected claims. A simple thing as getting an age or name wrong can involves selection for criterion assumption coding. Any mistakes like altering documentation is considered not satisfying the conditions of coverage for any services that is provided. False documentation will result in payment being delayed. It’s very important to take your time and make sure everything is correct because one mistake can really damage a lot. Learning the process can seem difficult but know everything you need to know can help in so
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HCR 220 Week 7, Assignment - Evaluating Compliance Strategies

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