Medical Billing Research Paper

I am very familiar with medical coding and understand how it is used because I worked in the medical field for many years, and I used those codes for much of that time. At my last job, I helped with the billing for some time, did the insurance referrals for several years and got the insurance pre-authorizations/pre-approvals

Most hospital CFOs IN ADDITION TO Health facts Managers are generally turning to outsourcing, which is another word regarding subcontracting. currently my partner and i face hard times with ever tightening budgets, unrealistic deadlines, AND ALSO vast quantities of information which might be obtaining further challenging to manage. your sole product or service seems for you to lie with outsourcing most of the tasks, similar to Medical Billing Services. Here are usually 10 signs giving an green code with regard to investing with outsourcing Medical Billing Services.

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.

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.

I would like to pursue my career in medical office support. In this particular job you do not need a lot of education but you would need a completion of a medical office support class. I have to help people when they first enter the hospital. I am the first person to greet the patients once they enter the hospital. While you are working in the hospital you can’t give out a patient name. However, you have to have your license in order to work with the file papers.

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

According to the US Bureau of Labor Statistics, the Medical Coding and Billing field is growing faster than any other field (Medical Billing & Coding Careers). The reason for this is that the more doctors’ offices open up, the more the need for medical billers and coders. As of today there are over 8000 codes being used to describe every procedure you can imagine (Sloviter, Sept-Oct 2009). Now think about being a doctor. It would be really hard for a doctor take care of his/her patients and keep track of all those codes. The field of medical coders and billers has a pay range of $8 to $10 per hour to start. However, that is also based on experience. The more experience, the more the pay. Considering that being the pay for full-time, plus any benefits such as vacation, health packages, and retirement packages – it may not seem like

Medical billers and medical coders usually work normal business hours, with occasional overtime and weekends. There are several programs available in a variety of different degree options. Most employers’ requirements involve at least an associate degree. Although an associate degree tends to be the general standard in the industry, some employers may consider applicants whose post-secondary education is a specialized medical coding and billing diploma or certificate from a career school. The national average medical billing and coding salary is around $17 per hour, or around $35,920 annually. The lowest salary earners make around $10 per hour, or around $21 annually.

Medical billing and coding professionals who specialize in areas such as neuropsychiatry or rheumatology typically earn more than medical billers and medical coders who do not specialize. Medical billing and coding certification is another factor that can impact medical billing and coding salary, since certification allows medical billers and medical coders to earn higher

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.

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.

To a lot of people Medical Billing and Medical Coding can be considered to be the same thing. But as I’ve learned through research it is not the same thing. Medical Billers handle and submit patient records for services they have received to insurance companies and if needed also provide the information to the government. The Medical Billers use alphanumeric codes as well as numeric codes to process and submit claim forms for payments. Medical Billers obtain certificates and diplomas that are geared towards Medical Billing and Insurance.

My career that I am researching for my junior project is Medical Coding and Billing. Medical Coding and Billing are two different jobs. Medical Coding is when a patient has any medical procedure or exam such as going to the doctor for the stomach virus or even going to the hospital for a broken bone. They work with the insurance companies by putting a specific number into the computer. There’s CPT Codes which stands for Current Procedural Terminology which is “ Codes to better understand the services their doctor provided, to double check their bills or negotiate lower pricing for their healthcare services. (About Health, 2014).”

Medicare is administrated by the Centers for Medicare and Medicaid Services (CMS). It is divided by subdivisions which is the Center for Medicare Management who overseas development of payment policy and management of fee-for-service contractors. The Center for Beneficiary provides beneficences with information on Medicare programs, and research grievance and appeal functions. The Center for Medicaid and State Operations focuses on federal and state programs like Children’s Health Insurance Program and the Clinical Laboratory Improvement and CMS who enforces insurance portability and transaction and code set requirements of HIPAA.

In the field of medical billing and coding are growing much faster and it should be. According to American Academy of Professional Coders survey, the median salary for medical billing and coding is $31,236 a year. Compare to year of 2002, the salary was $23,890. Each year is increase about $2000. Salaries are depend to the type of office and other reason, like education, experience or a certificate of medical billing and coding.