Case Study Azly

The Health Insurance and Portability and Accountability Act, also known as HIPAA, one act medical administrative assisitants must understand and follow as it enforces patient privacy and confidentiality, integrity, and security of protected health information (PHI). Two other issues assistant should be aware of are malpartice and negligence which can lead to lawsuits, prison, and penalties. Medical office administrative assistants need to be aware of the various types of barriers: language, culture, literacy, LEP patients, vision or hearing impairments and willing to adjust their communication style in an attempt to overcome barriers within the workplace. The billing and coding process starts the moment the patient walks into the facility and end once the facility has been completely reimbured for services rendered. Three vital parts of the billing process are accurate medical docuentation, correct assignment of ICD-10 and procedure codes, and clean

The Data that has been collected, read, and analysis was to determine Miguel’s strengths and challenges (weaknesses). According to Miguel’s Data his strengths are Phonemic Awareness, Phonics, and Vocabulary. In the phonemic awareness: The student is scoring very well in phonemic awareness/oral language. He was able to get 10 out of 10 in sounding out words. He was also able to

Id. In order for providers to avoid costly claim denials, a risk management and compliance program should be in place and annual monitoring and auditing of internal controls needs to occur on a regular basis. This text will review the issues that medical providers face with coding and billing regulations, the consequences of improper billing and coding, and resolutions that will aid in the prevention of claims being denied.

VeriType is developing software that will improve the billing process for physicians. The software is developed to help make the billing process easier, more accurate, efficient, and compliant with the Health Care Financing Administration (HCFA). HCFA monitors billing practices compliance with government regulations. Fines imposed for noncompliance with HCFA guidelines can reach up to $10,000 per claim. This along with other inefficiencies in the billing process can cost physicians a lot of money. (Moot Corp, 2013)

The process for medical billing involves a health care provider submitting, and following up on claims with health insurance companies in order to receive payment for services rendered; such as treatments and investigations. Once the procedure and diagnosis codes are determined, the medical biller will transmit the claim to the insurance company. Most physicians have medical directors that review claims for patient eligibility. Physician reimbursement and the coding to support it are critically important to the sustained health of any physicians practice. Under the contract provisions the physicians are responsible for rendering the services to the patients. In the billing process physicians need to know how services are rendered.

7/13 Worker went to the home of Crystal Sebastian. Worker knocked on the door and Crystal greeted the worker and invited the worker in. Crystal had a quarter sized hicky on the left side of her neck. As the worker and Crystal walk into the apartment Crystal shows the worker Josilynn's hover board for her birthday. The apartment was unorganized and messy. Worker and Crystal sat down in the living room to discuss court, ACR and Services. Crystal is working for the news paper route currently and seeking employment. Worker spoke about visitation and gave Crystal the 502 forms to fill out. Crystal spoke about visitation supervised and unsupervised. Worker stated that the worker did not have the man power, but it was an option to look into.

It is crucial to the success of a practice to have a very personalized relationship with the billing company. The billing company should function as an extension of the physician’s office working toward mutual goals.

In the medical billing revenue cycle, there are ten steps. The first step is patient preregistration where a patient schedules a visit and their insurance is either verified or on file. The second step is to determine the patient’s payment when visiting the provider and the reason for their visit. Next is to check the patient in upon arrival at their visit. This is to verify the insurance and the identity of the patient. The patient is checked out after seeing the provider and charges for services will show on the superbill. After this, the medical biller takes the patient’s superbill and creates a claim. From here, the biller must ensure that the claim is compliant with coding and arrangement. From here, the claim is prepared and finally

Medical practices, hospitals and urgent care centers that do not have employees dedicated to medical billing may also be affecting their bottom line. Providing the highest quality of care is the most important aspect of any medical practice, hospital or urgent care center. The high-quality keeps patients coming back. When staff members who specialize in

Billing and Coding compliance strategies protect physicians from financial risk and potential loss of revenues. Physicians must document fully the service they provide and put in force a plan that prevent or reduce coding errors. According to, “The Journal of the National Medical Association,” there are 10 top billing concerns for physicians:

UCM:CPSW received a text from Ms. Borkovec reporting that she has scheduled an appoitnemtns with Phyllis Wheatley and her first intake appointment is on11/29/16 at 3pm. Also, CPSW reminded Ms. Borkovec to schedule with her mental health assessment and let this worker know time and date for her 1st session. Goal 1-2

Thanks to technology, the human service field could become more efficient. Electronic filing of client or patient information puts the information at the fingertips of all involved in the care of each individual. Before computers, client or patient files were hard paper copies that only one person could have access to at a time within one office unless a copy of this file was made for each professional involved in his or her case. Technology changed this by someone creating software, which stores all information on the client or patient. The case manager can have access to

Jennifer is a 2nd grader being referred for possible learning disabilities in reading. Jennifer has always attended Sand Hill Elementary and has not repeated a grade. She is eight years old. She has been screened for vision and hearing problems and was found to have normal vision and hearing. Her teachers have described her as cooperative and likable. She does not exhibit behavioral problems.

Downsizing has become a commonplace strategy for organizations to adopt in an effort to cut costs, eliminate redundancies, and streamline organizational systems. Over the last 15 years, many organizations have engaged in downsizing more than once. Most companies have learned from the mistakes of the past, but some companies are still trying to use the same tactics today that were used in the mid 1980s, that leave employees reeling.

Tale servizio, offerto da Tyring, prevede la sostituzione del battistrada consumato con del materiale nuovo,