Get a Free E-Book! ($50 Value)
HIRE A WRITER!
Paper Types
Disciplines
Get a Free E-Book! ($50 Value)

Medical Record and Coding, Assessment Example

Pages: 1

Words: 416

Assessment

Chapter 2 Medical Record and Coding

When looking at my own medical bills I have often wondered how the amounts were decided and what the diagnosis codes mean.  Was there a universal secret medical language that used?  Are the costs at random?  These are some of the questions that I personally had and I am sure many others who are not in the healthcare industry have as well.

In reading chapter 2 I was interested to learn the reasons for all the information that is collected when arriving at the doctor’s office.  Anytime I have had an appointment the medical assistant at the desk usually asks for some key information; identification, medical card, date of birth, and address verification.  This information that is collected is typically all used for billing purposes, either to the patient or to the medical insurance carrier for the patient.

Once services are provided for a patient diagnosis and procedure codes are entered by the physician or practioner into the patients’ medical record.  These codes are generate a cost, usually a standard cost that is determined by the charge master; a price list of predetermined cost for specific services.  The information from the patients’ medical record and the charge master are what are used to generate the claim.

There are basic categories for the claim; a Uniform Bill 2004 (UB-04) and Centers for Medicare & Medicaid Services (CMS) 1500. The UB claim is usually used by hospitals and the CMS claims are usually used by physicians and independent professional offices.  Once generated these claims are typically sent to the patients’ medical insurance carrier for payment.  If a patient does not have medical coverage financial arrangements can often be made in house for the patient.

Once claims are submitted to a patient’s medical insurance carrier the insurance company makes a determination of how much they are going to pay for each service, typically there is a Usual Customary Rate (UCR) that is used to determine what amount are paid versus the actual billed amount. Typically the patient’s responsibility is the remaining balance after the UCR is paid.  In some cases once the insurance payment is received by the billing physician claims are aligned to the UCR and the patient balance is removed.

After reading this chapter I have a much better understanding of how the medical record and coding process works. I can now understand the methods used to determine patient balances and standard charges for a doctor’s visit and the process in which the medical office is paid.

Time is precious

Time is precious

don’t waste it!

Get instant essay
writing help!
Get instant essay writing help!
Plagiarism-free guarantee

Plagiarism-free
guarantee

Privacy guarantee

Privacy
guarantee

Secure checkout

Secure
checkout

Money back guarantee

Money back
guarantee

Related Assessment Samples & Examples

Centers for Disease Control and Prevention, Assessment Example

Introduction to Patient A 35 year-old white female nulligravida is five feet tall and is morbidly obese at a weight of 325 pounds. She is [...]

Pages: 1

Words: 2334

Assessment

American Cancer Society, Assessment Example

The American Cancer Society has many volunteering and fundraising opportunities available to help in their fight against cancer. In our effort to support Relay for [...]

Pages: 1

Words: 293

Assessment

Redesign and Workplace Rewards, Assessment Example

My current place of employment is with Insurance Claims Solutions, which is a company based in the United Kingdom, the United States of America, and [...]

Pages: 1

Words: 1747

Assessment

Couple and Family Assessment and Treatment Plan, Assessment Example

Introduction The television series The Haves and the Have Nots represents a series of important family-based challenges that impact the core family within the series. [...]

Pages: 1

Words: 1597

Assessment

Achieving Global Excellence, Assessment Example

Introduction Managing a project effectively requires a team of individuals with the knowledge, experience, and wherewithal to achieve all project objectives. These factors play an [...]

Pages: 1

Words: 983

Assessment

Critical Thinking, Assessment Example

My intended studies in business management, I feel, would be suitable in regards to my abilities, passions, and ability to serve current needs.  My unique [...]

Pages: 1

Words: 555

Assessment

Centers for Disease Control and Prevention, Assessment Example

Introduction to Patient A 35 year-old white female nulligravida is five feet tall and is morbidly obese at a weight of 325 pounds. She is [...]

Pages: 1

Words: 2334

Assessment

American Cancer Society, Assessment Example

The American Cancer Society has many volunteering and fundraising opportunities available to help in their fight against cancer. In our effort to support Relay for [...]

Pages: 1

Words: 293

Assessment

Redesign and Workplace Rewards, Assessment Example

My current place of employment is with Insurance Claims Solutions, which is a company based in the United Kingdom, the United States of America, and [...]

Pages: 1

Words: 1747

Assessment

Couple and Family Assessment and Treatment Plan, Assessment Example

Introduction The television series The Haves and the Have Nots represents a series of important family-based challenges that impact the core family within the series. [...]

Pages: 1

Words: 1597

Assessment

Achieving Global Excellence, Assessment Example

Introduction Managing a project effectively requires a team of individuals with the knowledge, experience, and wherewithal to achieve all project objectives. These factors play an [...]

Pages: 1

Words: 983

Assessment

Critical Thinking, Assessment Example

My intended studies in business management, I feel, would be suitable in regards to my abilities, passions, and ability to serve current needs.  My unique [...]

Pages: 1

Words: 555

Assessment

Get a Free E-Book ($50 in value)

Get a Free E-Book

How To Write The Best Essay Ever!

How To Write The Best Essay Ever!