Coder Interview - 1019 Words

Kristin Barry September 13, 2013 HCA 245 Moiz Lalani Interview with a Medical Coder Medicine is an art, it is science and business. There are scientific and artistic aspects those doctors learn in the profession of medicine. Doctors have to be paid which requires a different skill that is complex and comes with administrative professional. Hint a Medical Biller and Coding. Medical Billers and Coders work with clinics, doctors, hospitals, patients, and other medical facilities. Submitting claims to insurance companies help ensure that supporting staff and doctors are properly reimbursed for services rendered. When one is a Medical Biller there are abbreviations and acronyms that help save time when filing a claim.†¦show more content†¦It is crucial for the ICD and CPT codes match with the services rendered or a claim will be rejected, many claims are initially rejected. The cost of healthcare is on the rise and the demand for services has increased of required and specialty services feed into the financial greed among HMOs. Th e major bulk of hospital bills are paid directly by the patient’s health insurance provider which are termed the payer. 68% of the United States population has private insurance which is provided by their employer or self-pay. Around 9% of the population are self-payers who direct-purchase their insurance. There are two main categories of third- party payers they are government and private. Medicaid and Medicare are the largest government issued payers. Reimbursements for both private and governmental have policies that support therapeutics, diagnostics and new medical medicines and technologies. It is clinically evidence based approvals such as diagnostic test, prescription medicines, clinical trials and however insurers are using to help with their life cycle. With reimbursements there are incentives for medical facilities and doctors. Reimbursements are a source of revenue for hospitals; payers do not pay a full price for services. Healthcare has become the economy’s largest force. Healthcare services are veryShow MoreRelatedCoder Interview1247 Words   |  5 PagesCODER INTERVIEW Kathryn L. Elican Grand Canyon University: HCA-530 April 3, 2013 CODER INTERVIEW Like a regular business entity, healthcare facilities need continuous inflow of funds to continue existing. However, billing complexity in the health care industry is unlike all other industries. The biggest difference of healthcare from other businesses is the source of payment for services rendered: the majority of which is from a third party with pre-determined rates and strict prerequisitesRead MoreA Interview On Social Research Interviews853 Words   |  4 PagesThe aim in social research interviews is that the interviewer elicits all different kinds of information from the interviewee/respondent. The information may include the interviewees’ own behavior, attitudes, norms, beliefs, and values. When social researchers are doing a survey in quantitative research they employ the structured interview. The structured interview is one of the two main ways of administering a survey research instrument; the main forms of it are face-to-face and telephone. SocialRead MoreThe Effects Of Disordered Eating Behavior On College Relationships1619 Words   |  7 Pageswith a friend or romantic partner who currently or previously engaged in disordered eating behaviors (hereafter referred to as â€Å"target(s)†). CQR utilizes a semistructured interview approach to collect data across participants, and the meaning of the data is determined through a process of consensus among coders. Multiple coders comprise the primary research team in this inductive analytic process, while an auditor serves to minimize groupthink and provide feedback (Hill et al., 2005; Hill, ThompsonRead MoreHealth Information Management At Pdn Essay913 Words   |  4 PagesTraining and Updates for Credentialed Coders. PDN offer consulting services which includes: Health Information Management, Quality Management, Joint Commission Readiness, Electronic Health Record. The corporate office houses their centralized remote coding labs. 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Using group interview to collect data is strength of the study; it is time-saving, easy to conduct and appropriate to elicit ideas of a large group of participants (Dà ¶rnyei, 2007; Lodico et.al, 2006), it also maximizes discussion among participants and brings several different perspectives into contact (Ary et al., 2010). The author also provided each participant of group interview with a two-page sheet that allowed for written feedback to compensateRead MoreRelationship Between Disorganized Attachment And The Early Stages Of Infancy Essay961 Words   |  4 PagesAttachment Interview (AAI), which was used to examine the mothers’ past experiences with their pri mary attachment figures. The AAI interviews were recorded and later were written out by the researchers. All of the participants were assigned to one of three attachment categories dismissing, autonomous, or unresolved. The mothers who were involved in the study, 44% were placed in the dismissive category, 25% in the autonomous, and the remaining 31% in the unresolved. There were two blind coders who hadRead MoreA Non Directive Adult Observer889 Words   |  4 Pagesrecorded the children’s play using a flip camera and used an open-ended interview process to ask the children to tell them their â€Å"story while playing with the medical based toys. Some questions of the open-ended interview process included â€Å"tell me the story you’re playing,† â€Å"tell me what happens next,† â€Å"will the main character get better,† and so on. After the paly session, each child’s videotape was reviewed by a minimum of 2 coders to establish and finaliz e a list of key themes and elements of playRead MoreContent Analysis Notes (for Revision)1422 Words   |  6 Pagesdefined broadly as books, book chapters, essays, interviews, discussions, newspaper headlines and articles, historical documents, speeches, conversations, advertising, theater, informal conversation, or really any occurrence of communicative language. Texts in a single study may also represent a variety of different types of occurrences, such as Palmquists 1990 study of two composition classes, in which he analyzed student and teacher interviews, writing journals, classroom discussions and lecturesRead MoreProfessional Practice Experience : Mental Health / Substance Abuse Facility Essay816 Words   |  4 PagesTECHNOLOGY PROGRAM HITT 2166 PROFESSIONAL PRACTICE EXPERIENCE: MENTAL HEALTH/SUBSTANCE ABUSE FACILITY Interview with Kelley Osborne, HIM Director at the Kingwood Pines Hospital 1. State the names and professional credentials of the employees assigned to provide health information functions. What are the tasks or duties assigned to these persons? All employees have the RHIT certification; one coder also has CCS for coding. The HIM technicians assemble and analyze records they handle release of information