HLTH245 - Principals of Reimbursement Management. Week 5
Week 5 Introduction: To bill or not to bill, that is the question. Whether you are paid or not paid is equally important. This week you have an opportunity to explore the Medical Billing Cycle and understand all the areas where difficulties can occur in this process. It is important to note that understanding this process goes hand in hand with having greater insight to how and when claims are paid to a healthcare provider. You will consider audit investigations in relation to your professional role. Week 5 Objectives:
Analyze ways to prevent audit concerns and Analyze medical billing form for adjudication process and prevention issues.
Required Resource:
ISBN: 978-0-07-351371-3
Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance, an Integrated Claims Process Approach. (6th Ed.), New York, NY: McGraw-Hill Publishers.
Chapter 15
Chapter 16
ISBN: 978-0-7637-5964-3
Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance Workbook. New York, NY: McGraw-Hill Publishers.
Written (Midterm) Assignment: Ten Step Billing Process
Lead in:
Your role in the Medical Billing Cycle may span across several steps, or you may be primarily responsible for only one step in the cycle. It is important to understand all the negative and positive consequences relating to each of the steps so you clearly understand your role as a healthcare professional in the process.
To prepare for the assignment:
Review Chapters 15 & 16 in Medical Insurance, an Integrated Claims Process Approach
Research ethical dilemmas in reimbursement management
Research unexpected consequences in the billing cycle
With this in mind,
Prepare a 7-8 page APA paper that details the Medical Billing Cycle. Please include a title and reference page. Compare and contrast various ethical dilemma-solving methods utilized in reimbursement management.
Be sure to answer for each step in the cycle the following:
Describe the potential positive and negative outcomes along with potential unexpected consequences related to each one of the steps
Submit to the Written Assignments section of the Learning Hub by Day 7.
Week 5 Introduction: To bill or not to bill, that is the question. Whether you are paid or not paid is equally important. This week you have an opportunity to explore the Medical Billing Cycle and understand all the areas where difficulties can occur in this process. It is important to note that understanding this process goes hand in hand with having greater insight to how and when claims are paid to a healthcare provider. You will consider audit investigations in relation to your professional role. Week 5 Objectives:
Analyze ways to prevent audit concerns and Analyze medical billing form for adjudication process and prevention issues.
Required Resource:
ISBN: 978-0-07-351371-3
Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance, an Integrated Claims Process Approach. (6th Ed.), New York, NY: McGraw-Hill Publishers.
Chapter 15
Chapter 16
ISBN: 978-0-7637-5964-3
Valerius, J., Bayes, N., Newby, C., Blowchowiak, A. (2012). Medical Insurance Workbook. New York, NY: McGraw-Hill Publishers.
Written (Midterm) Assignment: Ten Step Billing Process
Lead in:
Your role in the Medical Billing Cycle may span across several steps, or you may be primarily responsible for only one step in the cycle. It is important to understand all the negative and positive consequences relating to each of the steps so you clearly understand your role as a healthcare professional in the process.
To prepare for the assignment:
Review Chapters 15 & 16 in Medical Insurance, an Integrated Claims Process Approach
Research ethical dilemmas in reimbursement management
Research unexpected consequences in the billing cycle
With this in mind,
Prepare a 7-8 page APA paper that details the Medical Billing Cycle. Please include a title and reference page. Compare and contrast various ethical dilemma-solving methods utilized in reimbursement management.
Be sure to answer for each step in the cycle the following:
Describe the potential positive and negative outcomes along with potential unexpected consequences related to each one of the steps
Submit to the Written Assignments section of the Learning Hub by Day 7.
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