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We have talked a lot about Medicare during this course because not only is it the largest single health care program in the U.S., but it often sets the standard of practice for other insurance groups. Using this video, review some of the features of Medicare and how Medicare has influenced health care in general.…
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A clean claim is a submitted claim without any errors or other issues, including incomplete documentation that delays timely payment. There are several required elements for a clean claim, and medical bills are denied if elements are incomplete, illegible, or inaccurate. A clean claim meets all the following requirements: · Identifies the health professional, health…
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The National Correct Coding Initiative (NCCI) was developed by the Centers for Medicare and Medicaid Services (CMS) to eliminate improper CPT coding, detect inappropriate CPT codes on claims and deny payment for them. NCCI edits are released 4 times a year. Significant to NCCI is the term “Mutually Exclusive.” Mutually exclusive procedures are those procedures…
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As we have determined, there are many terms, abbreviations, and acronyms that health care professionals need to know and understand as part of their job responsibilities. It is important for you to familiarize yourself with the most common terms that a medical coder and billing specialist would be exposed to. Using Medical Terms, Abbreviations and…
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Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, exploring issues of technology, care coordination, and community resources associated with the health problem you’ve defined. This includes time spent in consultation with subject matter or industry experts. For this portion of…
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Imagine you are a Saint Domingan (Haitian) in 1791. Type a letter to France declaring your country’s demands or independence. (3 paragraphs) –Keep in mind that you are trying to persuade French assemblymen, about the conditions in Haiti –Your letter must include the date (1791), a greeting, and a salutation.
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Some employers must provide unpaid leave for family- and medical-related reasons under the Family and Medical Leave Act (FMLA). Paid leave is not required by federal law; however, it is required by some state and local laws. Have you or someone you know ever experienced a situation where there was a need for unpaid family…
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The goal of this assignment is to understand the principles of project valuation and capital budgeting in a practical setting, using a combination of fictitious data and real-world examples. Begin by proposing a fictitious project for a hypothetical company. This can be any type of project-expanding a product line, launching a new service, entering a…
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Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. · Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. · Review the video, Case…
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Researchers often use a method called an experiment to study the causes of human and animal behavior. Design such an experiment based on a change in behavior you have observed in yourself or your roommates this past semester (e.g., eating or sleeping habits, exercise regime, game playing, etc.). Select a behavior that you are particularly…