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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There are some risk factors teen moms face and there is also another great turn outs. There is a major difference between the two. It’s important to tell teens the turnouts of teen pregnancy for the good and bad parts. There are risks of having sex, teen moms can make a difference for her and the baby, the risk of having HIV and/or any other STD’s, and the effects on the baby and mom. The numbers are inconceivable for studies: In Trends in Teen Pregnancy and Childbearing: In 2014Read MoreMy Mother s Parents Struggled With Addiction Essay1403 Words   |  6 PagesInside my family structure, my mother’s parents struggled with addiction. My grandmother, Ellen Sweeney, who has since deceased, was addicted to opiates, and my grandfather, Wayne Smith, who has also passed away, was an alcoholic. My mom was one of five children, her siblings included, Margaret â€Å"Markie†, the eldest, , Catherine â€Å"Kerrie†, the second eldest, my mother, Marian, the middle child, Amy, the second youngest, and lastly, Matt, the youngest. Moreover, my mother and my aunt Margaret â€Å"Markie†Read MoreA Case Study About Early Childhood Development1286 Words   |  6 PagesJulian Armando Villalobos A Case Study about Early Childhood Development ROUGH DRAFT Samantha N. Alvarez California State University, Northridge Tracy S. Ewing, PhD May 18, 2017 Abstract After months of observing Julian during school, physical activity on the playground and plenty of family time, it is clear to see where and how Julian develops in his daily life. It is no surprise that he is growing mentally, physically and emotionally for a healthy child his age. Although

Dance Macabre by Stephen King - 829 Words

Stephen King’s fore note to Danse Macabre, he suggested that zombies act as fast-moving terrorists. â€Å"By 2004, only three years downriver from 9/11, rampant consumerism was the last thing on our minds. What haunted our nightmares was the idea of suicide bombers driven by an unforgiving (and unthinking, most of us believed) ideology and religious fervor. You could beat ’em , burn ’em , but they’d just keep coming, the news reports assured us.† (King 40) Here Stephen King says that terrorists are relentless killers. What Stephen King is not mentioning, is that terrorists are not necessarily fast moving and neither are all zombies. Stephen King is generalizing zombies and terrorists which, makes his argument weaker than it appears. There are many myths about zombies in literature and movies that do not fit the characteristics in which King is discusses. Some other examples of zombies, such as the Resident Evil films, portray zombies in a different way. In Edgar Allan Poe’s The Tell-Tale Heart he describes a man with a disfigurement that gives us insight to the true nature of the fear created by zombies. The Umbrella Corporation operates a top-secret research facility named The Hive. The facility is located deep beneath the fictional city of Raccoon City. The Hive has been sealed by The Red Queen (the Artificial Intelligence that controls the Hive) due to the release of the T-Virus into the facility. It was intentionally released during the theft of the T-virus. The zombiesShow MoreRelatedThe Road Through The Wall By Shirley Jackson1897 Words   |  8 PagesEnglish and speech, she married Stanley Hyman. The first of her four children, Laurence, was born in 1942 which is the same time she began to have her stories published. Two years later in 1944, she was chosen for Best American Short Stories for â€Å"Come Dance with Me in Ireland.† A year after her husband acquired a teaching job at Bennington College and they moved to North Benningtown, Vermont, where she continued to write and raise her children. Jackson became a substitute teacher of a creative writingRead MoreEssay Witchcraft Portrayed in Films6180 Words   |  25 Pageslarge rim covers her untidy hair. She concentrates on her cauldron, in which some unwholesome-looking liquid is boiling and sending off coloured fume into the air. In the background, one can glimpse a row of jars and pots, each filled with exotic and macabre ingredients. Her old broom, made not for sweeping but for flight stands in a corner, and she is watched by the glowing and unmoving eyes of a black cat that sits calmly atop the table. Now she ta kes one of the jars with her long crooked fingers, andRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesE SSAYS ON TWENTIETH-C ENTURY H ISTORY In the series Critical Perspectives on the Past, edited by Susan Porter Benson, Stephen Brier, and Roy Rosenzweig Also in this series: Paula Hamilton and Linda Shopes, eds., Oral History and Public Memories Tiffany Ruby Patterson, Zora Neale Hurston and a History of Southern Life Lisa M. Fine, The Story of Reo Joe: Work, Kin, and Community in Autotown, U.S.A. Van Gosse and Richard Moser, eds., The World the Sixties Made: Politics and Culture

Reflection Paper On Watershed Management - 1148 Words

Introduction The purpose of this paper is to reflect on the Watershed Management course and to elucidate the things learned and accomplished. This class offers information, both specific and general, for educational and career applications which makes it a valuable offering in the environmental program at State University. Our connectedness to the environment through what is arguably our most vital resource, the watershed, emphasizes the importance of collaborative management. Learnings The National Research Council (NRC) states that â€Å"managing water resources at the watershed scale, while difficult, offers the potential of balancing the many, sometimes competing, demands we place on water resources† (1999, p.1). It is well understood that†¦show more content†¦Without consensus, people and organizations tend to waste time and energy on conflict. Realistic expectations make much more sense. The NRC (1999) states it as thinking normatively, not taking without giving, not making lofty unattainable goals. Attempting to return many of our watersheds back to pre-human conditions is an exercise in futility. However, moving the watersheds in a more normative direction with sound, collaborative management practices, is admirable and has a much greater chance of success. Using words in planning and decision-making like reduce, recognize, promote, protect and enhance indicates one is open to change and yet wants to accomplish something worthwhile. When appl ied to watershed management the ecosystem will benefit as the concerned team applies those concepts to real solutions. Sabatier (2005), throughout the textbook, emphasizes some basic concepts that at first blush, seem too general and even esoteric. However, I have come to realize how important they are. The main one that is most foundational, now that I have pondered it, is the matter of trust between stakeholders. It should be intuitive that trust is necessary to work together as a group or team when attempting to deal with issues surrounding a common interest, like a watershed, but all too often our egos get in the way. It goes back to what I have known for quite some time; get to know the people that you want to work with.Show MoreRelatedCurriculum Development6083 Words   |  25 PagesCurriculum Development Process Purpose 1. This paper describes the curriculum development process that will be used to develop the national curriculum. It also describes the structure of writing teams and consultation groups that will be involved in the national curriculum development. Background 2. The Board is committed to a process of curriculum development in each learning area that: †¢ provides opportunities for consultation †¢ establishes achievable timelines †¢ ensures high quality curriculumRead MoreCorporate identity16799 Words   |  68 Pages3/4 248 The current issue and full text archive of this journal is available at http://www.emerald-library.com/ft Corporate identity, corporate branding and corporate marketing Seeing through the fog John M.T. Balmer Bradford School of Management, The University of Bradford, UK Keywords Corporate identity, Corporate Communications, Brands, Corporate image Abstract Outlines 15 explanations for the fog which has enveloped the nascent domains of corporate identity and corporate marketingRead MoreThe Impact of Agricultural Sector on Economic Growth in Nigeria18675 Words   |  75 PagesAgricultural Economics of Nigeria: Paradoxes and Crossroads of Multimodal Nature Professor Eric C. 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Business Chp free essay sample

Discussion Questions 1. How does the American Marketing Association define marketing? How can marketers deliver value to their customers over the long term? Marketing is the activity, set of institutions, and processes for creating, communicating, delivering, and exchanging offerings that have value for customers, clients, partners, and society at large. (Approved October 2007) http://www. marketingpower. com/aboutama/pages/definitionofmarketing. aspx I couldn’t find on the book website the alternative page for 137 2. What are the four different kinds of utility that marketers can provide? Give an example of a product that delivers each type of utility. Marketers can provide form, time, place and ownership: Chipotle provides form, 24 7 convenient stores offer time, Starbucks provides place conveniently on every corner and most now have drive thru, and Barnes and Noble,s provides satisfaction to most consumers with friendly services provided efficiently. 3. What are the key categories of nontraditional marketing? Do you expect these areas to grow over the next decade? Why or why not? The key categories are people, place, event, and idea marketing. We will write a custom essay sample on Business Chp or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I do although the economy is down movies stars and the rich that are in the public eye often times still support this non profit marketing by donating but also appear in their commercials and speak out to help the marketing and usually do it for free. 4. How has marketing evolved over time? How have current events, economics and culture influenced thinking about marketing? Marketing has evolved over time especially with what their focus was on, it went from product to being most important to selling to marketing to not the main focus being relationship. The marketing concept is a philosophy that makes customer satisfaction now and in the future the central focus of the entire organization. It is all based on relationship to now maintain loyal customers that will make your company a success regardless of economic times. 5. What are the key characteristics of a high potential target market? Is the biggest target market always the best, why or why not? The key characteristics are size, profitability, accessibility and limited competition. I don’t think that biggest market is always the best, rather a smaller market so that you can focus on what is more important and be able to give better service therefore keeping your customers. 6. What are the different ways to segment a consumer market? Does it make sense to use more than one segmentation variable? Why or why not? Different ways to segment a market would be demographics, geographics, psychographics, and behavioral. I think that it makes more sense to focus on just one segment rather than use more than one it would be more successful for the company. 7. Describe the four elements of the marketing mix. What roles does each element play in delivering value to customers? The product strategy ranges from brand name to product image to package design to service to guarantee to product development and more; pricing strategy must allow your prices to be fair relative to the benefits of your product and must factor in competition; distribution is the goal to deliver your product to the right people in the right quantities, at the right time and the right place; and promotion strategy includes all the ways that marketers communicate about their products. 8. What are the five key dimensions of the marketing environment? How can marketers stay abreast of changes in each area? The five dimensions are: competitive, economic, social/cultural, technological, and political/legal. The way that they can stay abreast of the changes would be environmental scanning as a key tool to collect information from sources. 9. Outline the steps in the consumer decision making process. How can the marketer influence each step? The steps in the consumer decision making process would be the need recognition, information search, and evaluation of alternatives, purchase decisions and post purchase behavior. The marketer can influence each step by cultural social personal and psychological. 10. What are the key differences between primary and secondary research? Compare the benefits and drawbacks of each. Primary data is new data that marketers compile for the first time, tends to be more expensive, customized to meet your needs, fresh new data, no one else has it, while secondary data is existing data that marketers gather or purchase, tends to be lower cost, may not meet your specific needs, frequently outdated, and available to your competitors.