Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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Define and Summarize the following two terms
National provider Identification (NPI)
Current Procedural Terminology (CPT)
Traditional Fee-For-Service coverage is selected by:
A Small business employees
Large groups of employees
Individuals with no group plan
None of the above
Explain how the ACA could impact an organization’s strategic decision making and financial performance regarding healthcare reimbursement.
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- With the use of Electronic Health Records most healthcare facilities and offices no longer submit a paper claim form instead of the fields in the EHR translate in the background to an electronic format of the CMS 1500 (physician claim) or a UB04 (hospital claim) form. However, it is still essential that you understand how to complete a claim form properly. In reviewing the different Blocks on the CMS 1500 form, choose a section of Blocks (as discussed in the unit) and in your own words: List the Block Numbers (i.e., Blocks 1-8), Describe what information goes into the Blocks Discuss any formatting requirements for the Blocks and what happens to a claim if the formatting is incorrect. In the second document above, CMS discusses Incomplete or Invalid Submissions. Explain how the Part A/Part B Medicare Administrative Contractors (MAC) handles these types of claims. CMS also discusses the difference between a “clean claim” and “other-than-clean claims.” Explain in your own words the…arrow_forwardCreate a table comparing the British, Chinese, and Canadian health care systems with respect to financing, availability, and costs of care. How do they compare with the system in the United States. Note:- Please avoid using ChatGPT and refrain from providing handwritten solutions; otherwise, I will definitely give a downvote. Also, be mindful of plagiarism. Answer completely and accurate answer. Rest assured, you will receive an upvote if the answer is accurate.arrow_forwardIs there a prescribed protocol for managing leased or borrowed medical equipment in relation to security and the Medical Equipment Management Plan (MEMP)?arrow_forward
- what you think the challenges may be in the implementation of CQI in health care.arrow_forwardName two professional health associations or organizations that focus their efforts on work settings for health education specialists. Name two other professional health associations/organizations that are not as focused on a work setting. Describe them succinctly.arrow_forwardA. why are there different rate tables for Medicare, insurance companies, workers compensation, employee health, and self-pay visits B. what are the data required to complete sections 21 through 33 of the CMS1500 form?arrow_forward
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