Health Claims Research Paper

Who are Medical Billers and Coders? Medical Billing and Coding Specialist (MBCS) are the invisible engines of the healthcare system. They create invoices for all medical costs provided by healthcare providers and then submit the claims to patients’ insurance companies. They are also responsible for collecting co-payment s for a portion of the healthcare costs. A medical biller is responsible for processing insurance claims so the physicians and office staff get paid. Medical billing is done in a hospital, clinic or physician office. A medical coder work with ICD-9-CM, CPT, HCPCS, and/or ICD-10-CM medical codes making sure the procedures don for that patient are consistent with the diagnosis in the patient’s chart.

Even though Jamba Juice advertizes that its products are healthy, low in calories and rich in vitamins, many other stores also provide the similar smoothies or fast foods. This indicates that Jamba Juice’s products are not differentiated. Consumers can still find products in other stores that are familiar to Jamba Juice’s, which enhances the power of buyers.

health claims. Why? Because a health claim of a food product is a strong indication that It 's

With having true genuine intentions in eating healthy people fall into the ideas advertised by cooperation’s that their products are healthy. Food corporations protect themselves through ingredient secrecy and even through the FDA because they are not required by law to disclose their ingredients; however, the chemicals used need to be considered by the FDA to be Generally Regarded As Safe (Schlosser 25). People should take responsibility in the research of the food products they consume; therefore, allowing an individual to be wise and informed of what their really consuming. Maybe, instead of cutting corners in trying to eat healthy with false idealistic advertisement consumers should consider eating fresh fruits, vegetables, and cooking ingredients. Consumers should like the author Pollan suggested in his rules of thumb: avoid food products unfamiliar, unpronounceable ingredients, and products containing more than five ingredients (Pollan

Michael Pollan opens his New York Times article “Unhappy Meals“with a rather ambiguous statement, “Eat food, Not too much, Mostly Plants”. Pollan gives the “average Joe” a new perspective on what food really is in this article. But in reality it’s not a new spin rather a throwback on a time trusted take on food, but I’m getting ahead of myself now. He does this starting off, by giving his rule of thumb, “if you’re concerned about your health, you should probably avoid food products that make health claims.” A rather odd claim I thought at first. It seems to go against everything that we have ever learned about nutrition. I have regularly found myself going out of my way to find foods that make such claims. So why

Managed care in the United States will constantly be changing or evolving. This is due to advances in technology, improvements made by the providers and deliverers of the services, new federal and state laws, and a shift towards a performance based system. Managed care will be delivered to the consumer in an affordable, innovative, and reliable manner with an emphasis on quality and accessibility.

If you are unfamiliar with long term care insurance, now is a good time to discover some of the benefits. Long term care insurance can help cover the cost of a nursing home, an assisted living facility, or in-home care when, or if the time comes that you need it. Yes, Medicaid will cover some long-term care expenses, but it does not cover all of them and will only provide benefits if your net worth is low enough to qualify. Long term care insurance can be quite costly however - and the longer you delay in purchasing a policy, the higher the annual premium will become. What Will Long Term Care Insurance Pay For? Different policies provide different benefits. Some policies pay a daily benefit, such as $200 or $300 per day, that can be used

Healthcare in the United States has reached a level of complexity which has perplexed Presidents, Congressional members and private industry for over a century (Palmer, 1999). While the healthcare system has evolved over the last century, policy decisions which have attempted to effectuate changes to cost, quality and access have been

Should the United States have Universal healthcare? Healthcare is a huge part of everyone's daily lives, from receiving check-ups, to acquiring care for medical emergencies such as cancer, or other things we can not control. Sadly, these services all cost an absorbent amount of money and a lot of insurance plans may not cover all services. Many people die from not receiving the proper medical care they need. High out of pocket expenses can force people into medical bankruptcies. These problems would not occur if the United States would have Universal Healthcare. Having Universal Healthcare will result in many benefits. Everyone would have access to the care they need, the government would pay for the services, and the services would still

As technology continues to improve, many communication issues that patients and health care provider experienced with communication has become less of a problem. In the past, patients experience many problems with communication which affected the quality of care patients received due to communication issues with health care providers. Due to technology improvements, many patients and health care facilities have improved the communication between providers and patients resulting in better communication, better quality of care and improved trust among patients in providers. The technology improvement made in the healthcare field has occurred in the form of multimedia improvements, websites, and various applications.

A great opportunity to discover whether or not you actually want to do the job you have been dreaming about your whole life is to explore that career field. I was granted the opportunity to job shadow a medical records technician, also known as a medical biller. I haven’t always wanted to be a medical biller, but I have had an interested in the medical field. The chance to shadow Mrs. Latoya West at Advantage Medical Billing allowed me to see that the medical field was something that I would like to continue to pursue, but not as a medical biller. During my time, I did discover a few interesting things.

The food market nowadays has become a whirlwind of misleading claims and food packed with as many vitamins and nutrients as possible. In Michael Pollan's “In Defense of Food”, he argues that people are too obsessed with diets and focus too much on nutrients that they end up ignoring the fact that the “health food” they are eating is made up of many different chemicals and byproducts that can cause more harm than good. Pollan uses solid evidence to back up his claims by giving examples of the different ways cultures view food, explaining different studies that have been done relating to nutrition, and exposing the real meaning behind the labels that have been put on food.

Of the ten most common reasons medical claims are denied I think that the #1 reason is incorrect patient identifier information. This is a mistake made I imagine more than anything else. If we get one number wrong it will throw everything else off. Like if we have the incorrect social security number or wrong id number.

Medical coders, are always working side by side with medical billers and although many people confuse these professions as the same thing, medical coders and billers have different responsibilities individually. It’s a good idea to get your medical coding certification not only because most jobs now a days require some type of schooling, but its also a good idea because it shows the company that you are someone that could fit in just fine. Certifications also shows that you are proficient in your area and are committed to quality healthcare by disseminating quality information, it’s one of the first qualifications that employers look for when they review you as a potential candidate, and it’s an asset when you’re negotiating a salary. In addition, the majority of billing companies have contracts with their clients that obligate

For decades the Fast-food industry has supplied Americans with tasty, comforting food, quickly and at a low cost. It was not until recently, when the health craze first hit America in the late 1980’s that the corporations developed a new approach to marketing health food products to fit their customer’s wants (Nielsen). The most common fast food chains, such as McDonalds and Subway, started advertising “healthier” food items on their menus to continue appealing to the general public. While fast food restaurants give the impression of offering healthy food, nutritionist studies show healthy alternatives are not as nutritious as advertised and can lead to possible calorie underestimation and overconsumption (Chandon 85). In order to