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Capstone Checkpoint HCR220

Capstone Checkpoint HCR220 - disease or other health issues...

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Capstone Checkpoint Yolanda Campos Medical billing process has various steps to be successful. Leaving out steps can lead to problems that can affect with financial payments. Medical billing and coding process involves ten steps, which is completed by medical billing and coding specialist for confidential and privacy of the patient and avoiding any problem due to payment and services. HIPAA is influence by the first step. HIPAA privacy practices are given to the patient for their review and signature, and if any question the patient may have due to his or her rights. Also the patient agreement on making payments if the service provided does not cover his or her insurance policy. HIPAA guidelines and regulation are to be followed to protect the privacy and confidential rights. ICD codes are used for diagnostic classification. It also uses to classify
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Unformatted text preview: disease or other health issues that are vital recorded that includes death certificate and other health records. ICD are used for identify treatments, procedure, examination, and immunizations. HCPCS (Healthcare Common Procedure Coding System) codes are used by Medicare and monitored by the Centers for Medicare and Medicaid Services (CMC) which are based on CPT codes. HCPCS are number assigned to identify procedure like surgical and diagnostic service. HCPCS have two set of codes, level I HCPCS is to identify CPT codes which are five digit numbers to the amount of reimbursement. For example of CPT code: 99214 may be used for a physical. Level II HCPCS are used by ambulance services or durable medical equipment. Medical billing and coding is important to follow each step correctly to avoid any misunderstood service....
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  • Spring '10
  • cvibanez
  • Centers for Medicare and Medicaid Services, Health Insurance Portability and Accountability Act, Centers for Medicare, Yolanda Campos

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