'Medical Classification and Medical Billing Process Essay\r'

'The ten locomote in the unwrapup charge process are divided into 3 classs and they are: visit, carry, and post claim. The visit has four travel and they are: preregister affected roles, establish financial responsibility for the visit, examine in patients, and check come out of the closet patients. The claim has troika steps and they are: review coding compliance, check measuringing compliance, prepare and transmit claims. The last section is the post claim which has the last three steps which are: monitor payer adjudication, generate patient statements, and follow up on patient payments and worry collections. HIPAA, ICD, CPT, and HCPCS, all contain an important role in the aesculapian exam billing process. HIPAA protect any randomness in which individuals gage identify the patient, their health and history, much(prenominal) as their name, social security number, contact and billing information, and restitution.\r\nWhen first visiting the medical facility a pati ent must receive a set of privacy, this will explain how to exercise his or her effectives downstairs HIPAA. It will protect patient records from being let out without his or her consent. In the medical billing process, HIPAA influences preregistering because the provide must make sure the patient information is not overheard by others in the waiting room. HIPAA in like manner influences the establishing’s financial responsibility because the patient provides the medical facility with his or hers personal information as well as insurances. International Classification of sickness (ICD) is diagnosis codes used at check out time to identify the patient’s master(a) illness. In order for the visit to be bill the physician must put down a medical code to describe the patient medical diagnoses and procedures.\r\nWhen the physician performs a treatment or riddle a procedure code is assigned. These codes discharge be selected from the CPT or Current Procedural Termin ology. Any avail in which is not included in the CPT can be found in the HCPCS or the healthcare Common Procedure Coding System. HIPAA has made HCPCS codes compulsory for billing and coding. HCPCS codes are for patients in Medicaid, Medicare, and private insurance plans. Once the services is provided and the ICD, CPT, and HCPCS codes are assigned therefore the medical facility can submit the claim to the insurance provider. By not putting the right codes down it can cause the claim to be denied. The medical coder will then have to resubmit the claim so the bill can be process and paid.\r\n'