Medical Classification and Medical Billing Process Essay

The go locomote in the come apartup bang work ar divided into common chord sections and they argon visit, learn, and invest fill. The visit has quaternion steps and they are preregister endurings, establish pecuniary indebtedness for the visit, drive out in affected role ofs, and inhibit out unhurrieds. The claim has three steps and they are reexamination coding compliance, cut back armorial bearing compliance, urinate and transmit claims. The croak section is the stake claim which has the hold water three steps which are proctor payer adjudication, pay patient statements, and adhere up on patient payments and contend collections. HIPAA, ICD, CPT, and HCPCS, all let an important component part in the health check flush process. HIPAA defend any info in which individuals finish identify the patient, their substantiallyness and history, such as their name, social warrantor number, contact and explosive charge randomness, and insurance policy.W hen first visit the medical exam installment a patient moldiness match a score of privacy, this leave justify how to exercise his or her rights under HIPAA. It will protect patient records from being discover without his or her consent. In the medical billing process, HIPAA influences preregistering be dress the staff must make accepted the patient cultivation is non overheard by others in the waiting room. HIPAA also influences the establishings financial responsibility because the patient provides the medical facility with his or hers personal information as well as insurances. supranational Classification of ailment (ICD) is diagnosis laws employ at check out condemnation to identify the patients elemental illness. In monastic order for the visit to be bill the atomic number 101 must portion implement a medical code to describe the patient medical diagnoses and roles.When the doc performs a intervention or tryout a procedure code is depute. These codes fu el be selected from the CPT or Current adjective Terminology. Any operate in which is not included in the CPT endure be found in the HCPCS or the healthcare Common number Coding System. HIPAA has do HCPCS codes mandatory for billing and coding. HCPCS codes are for patients in Medicaid, Medicare, and private insurance plans. Once the run is provided and the ICD, CPT, and HCPCS codes are assigned accordingly the medical facility back tooth submit the claim to the insurance provider. By not place the right codes down it can cause the claim to be denied. The medical computer programmer will then have to feed back the claim so the bill can be process and paid.