HSA 525 Week 2 Discussion Board
Obtaining
reimbursement for services provided involves not only the clinical team but
staff in the business office. These staff include billers and coders, who each
have a specific role when it comes to receiving payment for services rendered.
Medical billing clerks interpret medical codes and submit bills to insurance
companies, patients, and other agencies for medical services. A medical coding
specialist is part of the medical records billing department of a healthcare
organization, such as a hospital or a clinic. The coding specialist classifies
diagnoses and procedures to facilitate billing and reimbursement from Medicare
or health insurance companies. It is very important that each one does their
job correctly. The medical coding specialist will be the focus of this
discussion question.
You have just been
hired as the coding supervisor for Big Wheel General Hospital. You were warned
before taking the job that there were some issues with the department. However,
you decided you were up to the challenge. Your first task, and probably most
important, is to review the noted areas of deficiencies and provide a
memorandum to the HIMS Director, Betty Kline, on which are the top two issues
to focus on first and strategies to correct the issues.
These are the issues
you have identified:
·
Not coding at the
highest level.
·
Bad
documentation/Missing documentation.
·
Not having access to
the provider.
·
Failing to use
current/updated code sets.
·
Under and overcoding.
·
Unbundling.
https://hwacer.com/Tutorial/hsa-525-week-2-discussion-board-2/
HSA 525 Week 2 Discussion Board
Obtaining
reimbursement for services provided involves not only the clinical team but
staff in the business office. These staff include billers and coders, who each
have a specific role when it comes to receiving payment for services rendered.
Medical billing clerks interpret medical codes and submit bills to insurance
companies, patients, and other agencies for medical services. A medical coding
specialist is part of the medical records billing department of a healthcare
organization, such as a hospital or a clinic. The coding specialist classifies
diagnoses and procedures to facilitate billing and reimbursement from Medicare
or health insurance companies. It is very important that each one does their
job correctly. The medical coding specialist will be the focus of this
discussion question.
You have just been
hired as the coding supervisor for Big Wheel General Hospital. You were warned
before taking the job that there were some issues with the department. However,
you decided you were up to the challenge. Your first task, and probably most
important, is to review the noted areas of deficiencies and provide a
memorandum to the HIMS Director, Betty Kline, on which are the top two issues
to focus on first and strategies to correct the issues.
These are the issues
you have identified:
·
Not coding at the
highest level.
·
Bad
documentation/Missing documentation.
·
Not having access to
the provider.
·
Failing to use
current/updated code sets.
·
Under and overcoding.
·
Unbundling.