The submittal of claims Essay Example for Free

The submittal of claims Essay The submittal of claims to insurance companies requesting payment for medical services provided by a doctor to a patient is called the medical billing process. Ten steps make up the process: preregistration of patients; establishment of financial responsibility for the visit; checking patients in; checking patients out; the review of coding compliance; verifying billing compliance; the preparation and transmittal of claims; the monitoring of payer adjudication; generation of patient statements; and the follow-up of payments by the patients and the handling of collections. HCPCS, HIPAA, CPT, and ICD have an influence on every step of the process. The 9th Revision-Clinical Modification (ICD-9-CM) is a global categorization of disease and contains sets of codes. These codes give information for evenly measures and diagnoses. The ICD-9 code has three digits, and these three may be followed by a decimal point and then two more digits. The Healthcare Common procedure coding system (HCPCS) does not give diagnosis information, only information about the procedure area. The purpose of HCPCS codes is to process hospital treatments for outpatient services. Physicians also use these codes. ICD-9 procedure codes are required by HIPAA for their porting procedures of hospital inpatients. The numerical codes for CPT and the diagnoses areas signed by the coding team. They make these assignments based on information given by the provider. A charge is then created, following the billing rules that pertain to certain locations and carriers. People who work on the process of medical billing have to maintain patient information confidentiality based on HIPPA rules. Employees must also be truthful and conduct themselves with integrity. Every procedure and diagnosis has to be correctly documented and then coded accurately to avoid any delays in payments.

Alexander The Great Essay -- World History Biography Alexander Great

Few historical figures stand out in the same degree as that of Alexander the Great. He was a warrior by 16, a commander at age 18, and was crowned King of Macedon by the time he was 20 years old. He did things in his lifetime that others could only dream about. Alexander single-handedly changed the nature of the ancient world in just over a decade. There were many attributes that made Alexander â€Å"Great.† He was a brilliant strategist and an inspired leader; he led by example and was a conqueror at heart. In looking at his early childhood, accession to the throne, conquests, marriage, and death one can see why Alexander the Great is revered in historical contexts as one of the greatest figures of all time. Alexander was born in Pella, the capital of Macedon, on July 20, 356 B.C. He was the son of King Philip II and his fourth wife Olympias, an Epirote princess. Alexander was bred to be a warrior; his father was a great commander and king, and his mom’s second cousin, Pyrrhus of Epirus, was a celebrated general. So there were noteworthy examples of military genius on both sides of his family. As a child, Alexander’s mother would tell him stories of how he was a descendant to Achilles and Hercules. Achilles was his favorite hero growing up, as he read of his adventures in Homer’s Iliad. From an early age Alexander was practically raised by everyone but his parents. He was originally educated by a strict teacher named Leonidas. Alexander’s father wanted Alexander to become a great man, so he acquired the famous philosopher Aristotle to become his tutor. Aristotle trained him in rhetoric and literature, and stimulated his interest in medicine, science , and philosophy. Aristotle is credited for Alexander’s fasci... ... to develop a system of administration for his vast realm of power. Alexander the Great [database online], 22 October 2004. Accessed 21 May 2008. Available from http://www.hometheaterinfo.com/alexander_the_great.htm; Internet. Burke, Edmund, M. â€Å"Philip II and Alexander the Great,† Journal of Military Affairs (April 1983): 67-69. Heckel, Waldemar. The Wars of Alexander the Great. Oxford: Osprey Publishing, 2002. Heckel, Waldemar; Yardley, J.C. Alexander the Great. Oxford: Blackwell Publishing Ltd, 2004. History of Western Civilization [database online], Edited by E.L. Skip Knox. Boise State University, 6 December 2002. Accessed 2 June 2008. Available from http://history.boisestate.edu/WESTCIV/alexander/15.html; Internet. Robinson, C.A. â€Å"The Extraordinary Ideas of Alexander the Great.† The American Historical Review 2 (January 1957): p. 53-72.

Reaction Paper on SONA 2014 Essay

There were many highlights on the recent SONA President Benigno S. Aquino stated last July 28, 2014 and these are the 3 things that intrigued me the most: Under the controversial DAP, PNoy said that around P1.6 billion fund was given to Training-for-Work Scholarship Program of TESDA. A total of 223,615 beneficiaries have graduated with an equivalent of 146,731 graduates currently working. I would say I really applauded him for his insights on education. True, Education is very important in every country. A country consists of people, now if those people are mostly illiterate what do you think would the country become of? And yes, after spending a couple of pesos to those students through scholarships, how much do you think those students would pay for their taxes when the will graduate and have their own jobs? see more:sona 2017 reaction paper The ugly side of this though is the reaction of COA and politics involvement. Did you know that according to COA these amounts were not fully utilized by the agency, casting doubt on Aquino’s figures. COA said that out of the P1.1 billion funds from DAP obtained by TESDA in 2011 for TWSP, only 92.47% was utilized. Now how about that?! People and even projects are not perfect. When will they accept that?! I am still thankful though because at least he is showing positive numbers and facts. President Benigno S. Aquino III, during his 5th State of the Nation Address (SONA) on Monday, cited attainments in the country’s aviation industry as having contributed to the country’s steady economic growth the past year. First on the list of citations was when the International Civil Aviation Organization (ICAO) last March 2013 lifted the significant safety concerns it had previously issued for the Philippines.In the same year, the European Union lifted its ban on Philippine Airlines, allowing it to fly once again to Europe. But with the improved aviation system, President Aquino said, Filipinos can now fly directly from Manila to London. President Aquino also welcomed the FAA’s decision to upgrade the Philippines’ aviation status back to Category 1. He said that because of this upgrade, it is likely that there  will also be an increase in routes going to the United States â€Å"The increase in flights of our local airlines to the United States and participating countries in the EU is a big help to both tourism and business,† the President said in his speech. I am also thankful for this one. Philippines being an accessible country worldwide is a Go Go ! what I meant is its a definite plus for us if we don’t spend too much on connecting flights just for us to get to our destination. I not sure if ever you experienced connecting flights before and I really hope youd never do . Because, Oh my! it is such a hassle with time and money. Imagine you being excited but you need stopovers, sleeping in the airport just catch the earliest flight to your destination and pray to GOD the weather will cooperate or else you’re stuck! Meanwhile, President Aquino also pointed out how the country’s hosting of the World Economic Forum on East Asia this year was a huge success, showing the world the country’s capacity in business.â€Å"†¦With the APEC (Asia-Pacific Economic Cooperation) Summit the Philippines will be hosting next year, we will be able to inform even more people of our progress, and the opportunities that this has opened up for all,† he said. This is my biggest concern of them all. I hope he will exert more effort on this one. As a regular consumer I don’t see myself having a positive sides on this one. Yes I know we are eventually experiencing Mother Nature’s reminders on how we should take care of the resources she has given. But by God! even the spices that is very common and needed in every household (ex: GARLIC – my favourite spice with chicken) costs too much. Including our staple food which is rice. This one needs to be alleviated! Remember County c onsists of People, People needs Education but most of all it needs to FOOD in order to survive!

Case Study Two Moms - 1630 Words

Unit 4 Final Assignment Case Study 9.4: Two Moms Step 1: In the case study, â€Å"Two Moms†, there are multiple problems brought up. The first problem is Denise, a student with two moms, is getting picked on by her classmates. The second problem is the teacher, Ms. Ribiero, is not sure how to bring up hard topics in her classroom, such as homosexuality, and the different ways families can look. The third problem is the backlash received from the parents. Step 2: Ms. Ribiero was trying to do what she thought was best in the circumstance. She saw one of her students getting picked on because the other students were misinformed and she wanted to inform them to prevent other students being bullied in the future. The parents†¦show more content†¦Step 4: The long-term outcome that the school would like from this experience is more acceptance of all families from all families. The short-term goal is for Denise to feel safe in her classroom and for Ms. Ribiero to be able to h ave the conversation with her class about acceptance and loving everyone. Step 5: An immediate response would have been to talk to the students when they were first making fun of Denis for reading the book. Ms. Ribiero can also send home a letter to all the parents in the class and explain to them that she is teaching a lesson on the ways families can look different. She can also include the books she will read to her classroom, in her letter home to parents. This way they will be able to read them before their students will. This should allow parents to feel more included what their children are learning. She could also have parents choose to opt their children out of the lesson and have them do something in a different classroom while she is teaching the lesson. Step 6: The larger issue stems at the school administration. They need to make new policies about implementing lessons into the classroom about diversity in families. They should also make a parent meeting once a year abou t the different families at the school and how everyone can be more understanding and compassionate for diversity in the schools. Step 7: The first action that the school needs to take is to talk to the upset parents andShow MoreRelatedThe Mental Health Risk Associated With The Tiger Mom Parenting Style And How It Affects The Education Of Their1173 Words   |  5 PagesThe debate is on: The Mental Health risk associated with the Tiger Mom parenting style versus Western parenting style and how it affects the education of their kids. Recently we have been overwhelmed with the comments of strict parenting techniques used to enforce respect and discipline, education, and success. Attention has been focused on the 2011 book Battle Hymn of the Tiger Mother by Amy Chua. 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