CMS/1500 Week 9 Research Paper

What most surprised me this week was just how similar, by the 1980s, the Progressive-Conservatives and the Liberals when it came to government policy. It is also an interesting commentary on the historical narrative when comparing how Pierre Trudeau and Brian Mulroney in contemporary historiography.

EMS 310 Blackboard Discussion Week 2 - Mandatory Natural Disaster Evacuations - Who should perform this duty?

For many care recipients the gender of the care workers is important, particularly for sensitive situations. Determine and document if the care recipient has any preferences, concerns or expectations regarding care provided by someone of a different gender.

The CMS-1500 form, also recognized as the Healthcare Financing Administration, and the Professional Paper Claim Form, is used for reimbursement from several government insurance plans including Medicare, Medicaid and Tricare.

I think that thinking is better than doing because if you just do something then you could harm your future and just doing something without thinking can get you into a lot of trouble. If I had to choose if I wanted to be a person who just does or "intellectual" I would be intellectual. The reason for that is because if I did something without thinking I would have consequences and then that would mess up my future.

Week 1 of the SFAWOC provided insight into the expectations of the students for the remainder of the course, as well as, students receiving classes to improve upon the already impressive foundation that many of the students entered with. Student expectations were concise, and professionally written which were provided in a document available for reference throughout the course. However, having graduated from a brick and mortar university the online concept of adult education is new to me and a bit confusing. For example, the traditional way of adult education is to pass out a syllabus that has all the expected assignments, and associated due dates for the entire course. The current setup utilized does provide a syllabus with due dates of assignments,

In SBMI Ambulatory Care Clinic the new patient shows for her first new appointment at the clinic. In which the new patient is asked by the secretary to fill out her name, the arrival time, and the doctor she is there to see. This lets the employees know who has arrived at the clinic and which doctor they are to see. The responsibility of employee at the front desk is to direct patients to the correct doctor but, first Miss Chatterbox must verify her identity at the clinic by showing her driver’s license to make sure she is the one getting care. This is also done to make sure that the clinic will be charging the correct person when seen, this also helps protect Miss Chatterbox identity.

The HMOs’ claims and benefits administration department, on the other hand, is responsible for ensuring that all providers are paid for their services and that health care benefits that members are entitled to are honored by the organization (Kongstvedt, 2009; Anderson & Gray, 2013).

Working on the concerns of patients once he or she has been entered the health care system; there is vital need for understanding of the patient intake process. When a patient enters a clinic or any other facility the information gathered is very important to collect for the first time. The preregistration and scheduling information, including the insurance information, patient medical history, assignment of benefits, and the acknowledgement of receipt of notices that privacy practices gathered the first time the patient enters the

- Patient's name, address, phone number, birthdate, reason for appointment, and if the patient is enrolled in an Insurance

When registering a patient, it is crucial that you get details of that patient’s demographics and the reason for seeing the doctor have it on record. Getting this info allows the patient to stay on schedule and helps figure out how much time is needed for their visit this will save time for the initial visit.

o During the orientation, I also recorded the patients height, weight, vital signs and insurance information.

Patient Check-in- This is when personal details are provided by the patient to the requested provider. The patient will agree and sign patient release information forms, complete a full medical history documents, and approve obtaining copies of legal identification and insurance information. This information provided should be detailed as much as possible to avoid any document errors in the future relating to accurate treatment and billing.

Filing claims and appeals is all about accuracy. Before a claim can be filed medical office personnel must make sure that they have all the patients information correct. No misspellings on names or address, insurance information is up-to-date, and that they are aware of any co-pays, deductibles, or procedures that may be excluded. Release and assignment of benefits need to be signed as well. Care that the patient received must be coded correctly, and be consistent with the care that was given to the patient.

In the medical billing and coding process there are several steps. In the medical billing process physicians prepare and sign documentation of the patients visit. The next step is to post the medical codes and transactions of the patients visit in the practice management program and to prepare claims. The process used to generate claims must comply with the rules imposed by federal and state laws as well as with payer requirements. Claims that are correct help to reduce the chance of an investigation of the practice for fraud and also the risk of liability if an investigation does occur (Valerius, Bayes, Newby & Seggern, 2008). Most physicians depend on their personnel to process their medical bills without looking at the bills before