...Correct Medical Billing and Coding in the Healthcare Industry Medical billing and coding is one of today's topics. When services are billed for patients, they must be coded based on the documentation the physician has dictated in the patients chart to receive payment from the insurance company. As the physicians office and/or hospitals practice correct medical billing and coding, this will prevent audits being brought forth in their practice and/or hospital. Kenny, Christopher,Correct Coding for Dialysis Billing Providers must ensure proper coding to avoid returned claim, 2012. This article is geared for those in the medical field who do coding and billing in hospitals for dialysis. The author is educating the coders and billers how to correctly code for dialysis billing. He mentions that The Centers for Medicare and Medicaid, issued a transmittal that has revised the Medicare claims processing manual as it pertains to hospitals billing for dialysis procedures that are non covered under the ESRD benefit for emergency dialysis. In addition, the author discusses how the hospitals should utilize Healthcare Common Procedure Coding System billing code G0275 and code 90935 for hemodialysis. Only to bill G0275, if the hospital is a ESRD facility, emergency services, and when dialysis is performed with related procedures, such as a vascular access procedures or when performed following treatment for an unrelated medical emergency. The author also continues to...
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...History and Future Of Medical Coding and Billing John F. McMahon BU480, Central Methodist University Abstract Medical coding and billing affects everyone during their lifetime and yet the regulations of medical coding and billing are extremely complex. Examining the history, evaluation, and effect of new regulations and their cost shed light on an already complex industry. We will review government regulations, technological advancements, and requirements that providers will face in the near future. We will examine our current systems and how they evolved through time and what they may be in the future. We have reviewed articles from the Medical Billing and Coding Association, the Department of Human and Health Services as well as the Office of the Inspector General. We will review the different types of insurance, how they each affect the process of medical coding and billing and then see what the future will be. Finally we will review what steps we have taken that has allowed a government to be so involved in our healthcare decisions. Thesis Statement Medical Coding and Billing has evolved to a point that it affects everyone at one time or another during their lifetime and has only led to complex rules and regulations that you almost need a degree to understand. From times that Physicians bartered for their services to the government telling them what to charge and insurance companies...
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...MEDICAL BILLING AND CODING CAREER Medical Billing and Coding Wanda F. Pervish Instructor: Elbert Trone Learning Framework 12 December 2012 MEDICAL BILLING AND CODING CAREER Abstract When people think about jobs in the health care field, it can be easy to assume that most jobs involve direct, hands-on patient care. What many people don’t realize is that administrative jobs are equally vital to ensuring quality health care services. Medical billing and coding is an important piece in the administrative puzzle that makes up the vast health industry. As with most administrative jobs, medical coding and billing professionals need to have excellent attention to detail, as one wrong code or inaccurate statement can have an extremely negative impact on a health care facility. MEDICAL BILLING AND CODING CAREER Medical billing and coding professionals hold pivotal roles in hospitals, doctor’s offices, physician’s practices and specialty medical practices. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. Without them, healthcare businesses could not function efficiently. A medical billing and coding specialist’s main goal is to provide medical billing and coding services so the health provider is paid for medical services rendered. Every medical service is assigned a numeric code to define diagnostics, treatments and procedures. It is the medical biller and coder’s job to enter this information into...
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...Medical Billing and Coding Medical Billing and Coding is an occupation that is rapidly growing. If you choose to work from home or in an office the salary can fluctuate. If working in an office then there are benefits such as 401K and health insurance. If working from home, these options are not available with most companies. A medical biller and coder works with the patient and many insurance companies to file claims. “The biller will submit and follow up on any claims in order to receive payment for services rendered by the health care provider. This usually involves learning many codes, each one representing a symptom, medications and diagnoses, in order to process the claim properly” (“Medical Billing Career”). Because there are so many different codes that you need to learn education is necessary for success....
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...Weekly Research- Week 7-Tamara Goins-Antonelli College-Medical Billing Coding-Deb Merry-Instructor 1.) Explain the chain of command in the medical office. The chain of command in the medical office should be in the order of the hierarchy model. This consists of who is at the top or overall command of the medical office such as the office manager or the physician. The next step down would be the leaders of the different areas of the medical office such as the clinical side, such as the PA’s and nurses, medical assistants with the business side being the front office and medical billing/coding with this in mind of how big or small the medical office is and if any other physicians are in the same office as yourself. Usually there are the last level of hierarchy is the team leaders on each side of the clinical and business side is where you would start your chain of command. I know when I was an assistant manager in a chain of cosmetology stores, our chain of command was the owner being at the top, the manager, me, and 2 lead...
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...MARKETING PLAN FOR ABIGAIL’S MEDICAL BILLING AND CODING Abigail’s Medical Billing and Coding Services, LLC is an accurate, timely and affordabl Here are the major elements of a marketing plan: Executive Summary: The Executive Summary should be a brief summary of the entire marketing plan and include the highlights of each section to be included in your marketing plan. It should also include your Business's Mission (or Vision) Statement. Start with your Mission Statement and use this as a foundation for the rest of marketing plan. Next, work on the rest of the plan, skipping the remainder of this section until the rest of the marketing plan is complete. Your Mission Statement should be a simple paragraph describing your company's values as well as what your company does and who it is. After the rest of the marketing plan is complete, come back and finish the Executive Summary. Product Description: The product description is the detailed description of the products and/or services that you intend to market. Anywhere in length from a few paragraphs to a few pages, use this as an opportunity to communicate your ideas regarding exactly what your product is and how your customers will use it. Market Analysis: The Market Analysis is drawn from in-house or third party Marketing Research and includes: * A description of the target market * Distribution channels with any applicable laws or regulations * The unique positioning of the company and its products...
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...Hello, Rashonda! It's so nice to finally meet someone who isn't in the same program as me. I also have seven children: a 19-yr old boy, a 17-yr old boy, a 15-yr old girl, a 10-yr old boy, a 5-yr old boy, a 3-yr old girl, and a 1-yr old boy. They all live at home with us except for our 15-yr old, who lives with her mom, and since my husband works so much, "Busy" is my middle name. Believe it or not, I actually tried my hand at Medical Billing and Coding, once upon a time, and absolutely loved it. The only flaw was that once school was over and I was certified, no one in my small town was hiring for entry-level billing and coding. Be that as it may, though, I still gained quite a bit since HCPC, ICD9, and ICD10 codes are often used in pharmacy,...
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...Jennifer Sanchez MOD 160 Night Class M.B&C Chapter 2: Compliance, Privacy, Fraud, and Abuse in Insurance Billing 1. Define compliance. 2. Name the two provisions of the Health Insurance Portability and Accountability Act (HIPAA) that relate most to health care. 3. Explain the difference between Titles I insurance Reform and Title II Administrative Simplification. 4. Describe the Privacy Rule under HIPAA. 5. Define protected health information (PHI). 6. Identify the difference between disclosure and use of PHI. 7. Illustrate the difference between privileged and nonprivileged information. 8. Explain patient rights under HIPAA. 9. Explain responsibilities of the health care organization to protect patient rights under HIPAA. 10. State the guidelines for HIPAA privacy compliance. 11. List the three major categories of security safeguards under HIPAA. 12. Define the provisions of the HITECH Act. 13. List the civil and criminal penalties of noncompliance with HIPAA regulations. 14. Identify the difference between fraud and abuse. 15. Identify the Federal and State laws that regulate health care fraud and abuse. 16. List the various fraud and abuse audit programs 17. Describer the basic components of an effective compliance program. Compliance Defined * All regulations, recommendations, and expectations of regulating agencies must be met to be in compliance. * The professional elements...
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...Thomas WILLIAMS – service record extracted from Muster Rolls of 20th Foot regiment 1812 May Active in Newry “Volunteer from Royal Westminster Militia paid by them to 6th May” (as a private) June Active in Newry July “From Private” (to Drummer on 25th). “Sent recruiting To Bungay, Suffolk, Eng paid by me to 25th” August Recruiting in Bungay September Recruiting in Bungay October In red: “Cordwainer at St George, Middlesex” November Recruiting in Bungay December “To recruiting company” 1813 January Recruiting in Bungay February Recruiting in Bungay March Recruiting in Bungay April Recruiting in Bungay May Recruiting in Bungay June Recruiting in Bungay July Recruiting in Bungay August Recruiting in Bungay September Recruiting in Bungay October Recruiting in Stowmarket November Recruiting in Stowmarket December Recruiting in Stowmarket 1814 January Recruiting in Stowmarket (Regiment shown as being in Totnes) February Recruiting in Stowmarket March Recruiting in Stowmarket April Recruiting in Stowmarket May Recruiting in Stowmarket June Recruiting in Stowmarket July Recruiting in Stowmarket “The regiment being at home this manning will be discontinued on the rolls from 25th July” (home depot = Knightsbridge) August Recruiting in Stowmarket (Regiment shown as ‘on ship’) September Recruiting in Stowmarket October Recruiting...
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...PROBLEM FORMULATION 3.1 Problem Statement Low density parity check codes are forward error correcting codes. The LDPC block codes are inefficient, since a new code must be hypothesized each time a change in frame size is desired. A number of algorithms with varying complexity and performance have been proposed for LDPC decoding. But achieving a balanced trade-off between decoding performance and implementation complexity still remains a potential problem. LDPC decoding algorithms operates by making either hard decision or soft decision on the message received from the noisy channel [20]. 3.1.1 Sum product Algorithm The sum product algorithm for LDPC decoding is a soft decision message passing algorithm. In case of soft decision based algorithms, the input data to the decoder is the channel probabilities, represented in logarithmic ratio which is known as log-likelihood ratio (LLR). This algorithm requires LLR for variable node operations to make decoding decisions. The LLRs are transferred over to the variable nodes (V), this variable node carry out the sum operation on the input LLRs as in equation (1) and computed messages are passed along the connected edges to the check nodes (C). SPA Variable node operation: V_i=〖LLR〗_n+∑_(j≠i)▒C_j (1) Where n=1,2,. . . .number of variable nodes i, j=1,2,. . . .degree of variable node The operation performed by the check nodes (C) is given in equation (2). The check nodes also perform...
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...Other than the methods discussed above, there are few other methods can be applied under the grounded theory such as open coding, axial coding, selective coding, memoing, sorting, writing and many others.For our research purpose as stated by Holy Feen we will be only looking at the first three methods. The first method is known as open coding. Open coding is carried out by analysing a research by identifying, naming, categorizing and describing a phenomena found in the text. The only way for us to analyse a research is by going through each line and paragraph and also reading and re-reading in search of the answer by questioning ourselves 'what is the objective about?' or 'what is being referenced in that particular line?'. These categories may consist...
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...________________________________________________________________ LINEAR BLOCK CODES A systematic (n,k) linear block code is a mapping from a k-dimensional message vector to an ndimensional codeword in such a way that part of the sequence generated coincides with the k message digits. The difference (n − k) represents the parity bits. A systematic linear block will have a [k × n] generator matrix [G] of the form G=[P IK ] Then the code is given as C= D*G Where D is the data word. Another important matrix associated with block codes is the [(n − k) × n] parity check matrix, [H]. The parity check matrix is formed by starting with the identity matrix and appending the transpose of the nonidentity portion of [G]: H=[IK PT ] The parity check matrix has the property c[H]T = 0 That is, any errorless, received code word multiplied by the transpose of the parity check matrix, [H], yields a zero vector, or syndrome. If the received code word contains an error, the resulting vector will match the corresponding bit that caused the error. S= R[H]T=E H]T Where S= error syndrome R= received codeword E=error Algorithm: 1. Take generator matrix from the user. 2. Create the 4 bit data word, total of 16 data words, using two dimensional array in the matlab. 3. Then code word is generated utilizing the matrix multiplication formula for the code word. 4. Then Hamming distance...
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...Coding Theory 8/12/15 Coding theory is a study of codes it is generally used in error correcting codes ad error detecting codes. It is way to have a secured application or network in today’s generation where the technology and information is growing rapidly. How coding theory works is for example we have lots of information and we want to decode it. Error detecting will detect all the errors in the information and error correcting will fix al the errors but most of the time it can we difficult to correct the errors when they are detected. Coding theory has many techniques different like hamming codes, perfect codes and generator matrices these are few techniques that work with coding theory. Error detecting codes helps look for errors in information or codes and it lists all the errors in the codes. Since most of the technology we use are binary numbers of 0’s and 1’s error detecting codes uses these binary numbers to look for the errors in codes. Some of the things like digital messages and zip code use error detecting to find any error like if there is a wrong zip code entered. Error correcting codes include error detecting codes so it can detect errors and also fix the errors. What exactly error correcting does is for example if we send some data to someone. Error correcting will fix all the errors it has detected while it is getting all the information. Hamming distance measures the length of the character from one to another mostly two binary strings or...
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...6. Durham: https://www.dur.ac.uk/study/postgraduate/taught/ 6. St Andrews: http://www.st-andrews.ac.uk/media/pgdegrees11-12.pdf 8. Warwick: http://www2.warwick.ac.uk/study/postgraduate/courses/coursea2z/#p 9. Lancaster: https://www.postgraduate.lancs.ac.uk/PGSearch.aspx 10. Exeter: http://www.exeter.ac.uk/postgraduate/degrees/taughtindexa/ 11. York: http://www.york.ac.uk/study/postgraduate/courses/ 12. Bath: http://www.bath.ac.uk/management/courses/postgraduate/ 13. Bristol: http://www.bristol.ac.uk/efm/postgraduate-programmes/ 14. Sussex: http://www.sussex.ac.uk/study/pg/2012/taught#a 15.Edinburgh: http://www.ed.ac.uk/studying/postgraduate/degrees?taught=Y&cw_xml=subjectarea.php 16.Nottingham No business http://pgstudy.nottingham.ac.uk/postgraduate-courses/schools-and-departments.aspx 17. Sheffield: http://www.sheffield.ac.uk/postgraduate/taught/courses/all 17. Leicester: http://www2.le.ac.uk/study/postgrad/taught-campus 19. Southampton: http://www.soton.ac.uk/postgraduate/pgstudy/programmes/index.html 20. Loughborough: http://www.lboro.ac.uk/study/postgraduate/courses/#p 21. Buckingham: http://www.buckingham.ac.uk/courses/ 22. Glasgow: http://www.gla.ac.uk/postgraduate/ 25. Newcastle: http://www.ncl.ac.uk/postgraduate/search/list/courses/taught 27. East Anglia: http://business.uea.ac.uk/courses 28.RoyalHolloway: http://www.rhul.ac.uk/studyhere/postgraduate/departmentsandcourses.aspx ...
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...GSM BSS Network KPI (MOS) Optimization Manual INTERNAL Product Name GSM BSS Product Version V00R01 Confidentiality Level INTERNAL Total 36 pages GSM BSS Network KPI (MOS) Optimization Manual For internal use only Prepared by Reviewed by Reviewed by Granted by GSM&UMTS Network Performance Research Department Dong Xuan Date Date Date Date 2008-2-21 yyyy-mm-dd yyyy-mm-dd yyyy-mm-dd Huawei Technologies Co., Ltd. All rights reserved 2011-08-04 Huawei Technologies Proprietary Page 1 of 36 GSM BSS Network KPI (MOS) Optimization Manual INTERNAL Revision Record Date 2008-1-21 2008-3-20 Revision Version 0.9 1.0 Change Description Draft completed. The document is modified according to review comments. Author Dong Xuan Wang Fei 2011-08-04 Huawei Technologies Proprietary Page 2 of 36 GSM BSS Network KPI (MOS) Optimization Manual INTERNAL GSM BSS Network KPI (MOS) Optimization Manual Key words: MOS, interference, BER, C/I, power control, DTX, frequency hopping, PESQ, PSQM /PSQM+, PAMS Abstract: With the development of the radio network, mobile operators become more focused on end users’ experience instead of key performance indicators (KPIs). The improvement of the end users’ experience and the improvement of the network capacity are regarded as KPIs. Therefore, Huawei must pay close attention to the improvement of the soft capability of the network quality as well as the fulfillment of KPIs. At present, there are three...
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