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5 Part question.

Part 1.

 

Describe the process of verifying a patient’s insurance. Why is it important to do, prior to the patient’s office visit? What are some potential consequences of failing to verify insurance?

 

Part 2.

 

Describe some strategies and methods for resolving discrepancies between coded data and supporting documentation. Why is this important? —- This one is the best one. Many coder go through this scenario and are not sure how to handle it. It is good for students to become prepared before the situation happens.

 

Part 3.

 

Perform an Internet search on diagnostic/procedural groupings and provide some examples. How can you evaluate the accuracy of diagnostic/procedural groupings?

 

Part 4.

 

What is code linkage in claim creation? Why is it important to ensure that codes are linked appropriately? What are the consequences of failing to perform code linkage?

 

Part 5.

 

Compare and contrast the following terms in detail: copayment; coinsurance; deductible; capitation and premium. What role does each have in medical billing?

SCIENCE
HEALTH SCIENCE
NURSING
MEDICAL CODING AND BILLING SPECIALIST MBC2361

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