Chapter 10 Reality Check Billing and Reimbursement
Coding Guidelines are the foundation for all fair and accurate coding practices around the United States and world. While all coders love to have all the guidelines written clearly in black and white, there are many gray areas that leave room for much discussion. This is where new coders often over code, under code, unbundle, […]
Week 15/Chapter 16 Reality Check Billing and Reimbursement
For ten years, Juan Garcia has worked as the office manager for Dr. Smith, a local and well-respected osteopath in his community. It was brought to Mr. Garcia’s attention by one of his coders that Dr. Smith appears to be upcoding with some of his services for Tricare patients. Mr. Garcia thought this was impossible […]
Assignment 4 – Medical Insurance Billing and Coding
Assignment 4 Often claims are denied because the right code is not used or information is omitted or in error. Other times, the claim is denied because the insurer did not understand fully the claim. Claims can and should be appealed if there is reason to do so and all other information is correct. Your […]
