Claims Training and Case Study
Medical billing is the preparation of invoices for procedures rendered, which are then given to patients and insurance companies. Medical billers act as the financial waypoint between patients, providers, and payers. Without billers, healthcare providers could not be reimbursed for the procedures they perform (medicalbillingandcoding.org).
Follow the link below and review the 10 training videos (3.01 through 3.10) found under “Section 3: What is Medical Billing?”. These short video segments cover the key concepts and guidelines that underpin the billing process. By watching the videos you will learn how the insurance process works, and what types of payers affect the reimbursement process. Finally, you will review Medicare, Medicaid, and the regulations enforced under the Health Insurance Portability and Accountability Act (HIPAA).
https://www.medicalbillingandcoding.org/billing-training/
After reading the textbook chapters, listening to my lecture(s), and then reviewing the medical billing training segments linked above, review the attached case study and answer the questions provided. Your responses should be detailed and demonstrate significant depth in critical analysis and proposed solutions. Claims Case Study.docx
All written submissions should reflect professionalism in grammar, spelling, writing style/format (one-inch margins, double spaced, typed in 12-point Times New Roman font), include APA 6th citations and references when appropriate, an appropriate title page, running heads and page numbers, and be uploaded as .doc or .docx documents.
Medical Billing Overview.pdf
Claims Case Study.docx