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5:29 4 Back Unit 5 assignment template.docx
Herzing Medical Group Claim Processing
Standards Policy scope Define the sc… Show more

Consider the following scenario as the basis for this assignment:

You have recently been hired as the manager of a billing and coding department for a private practice. Your team is experienced and generally performs at an acceptable level, however, there are occasionally times when productivity decreases, and errors in claim processing occur. To define the standards expected of your team, you must make a written policy.

Content and format of Claim Processing Standards policy:

Use the template provided (Word document)
Define the scope of the policy (whom it applies to, why it is necessary).
List elements in the claim life cycle process (visual illustration or image may also be used)
For each element in the claim life cycle: define a standard of quality
[Example] Claim Filing: claim is clean and submitted to payer within 30 days of service.
Summarize legal and ethical elements relevant to a billing and coding employee (review information presented in Unit 4)
SCIENCE
HEALTH SCIENCE
NURSING
HEALTH SCI PH200

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