By Marilyn Burgos, Donya Johnson, Jim Keogh
Clueless? suppose Like a Dummy? Get Demystified!
This convenient source basically explains the foundations and practices utilized by clinical places of work, hospitals, and healthiness amenities to encode scientific providers so one can obtain cost from executive businesses and coverage companies.
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Extra resources for Medical billing and coding demystified
A disorderly person is a minor crime such as causing a disturbance that usually results in a ﬁne. Healthcare professionals are exposed to violations of criminal law. Some of the more common criminal laws they are exposed to are • Fraud. This is an intentional deception that results in an injury to another person and can occur when a healthcare provider or healthcare facility intentionally submits false medical bills to Medicare, Medicaid, or medical insurance companies. • Battery. This is the intentional touching of a person without the patient’s consent such as when a medical procedure is performed on a patient without the patient’s consent.
If the defendant has the skills and training and the defendant’s action was not in accordance with acceptable practice, then the defendant is guilty of malpractice. An expert witness usually testifies in malpractice cases to define a widely acceptable practice. The expert witness basically tells the jury how the procedure should be performed. In contrast, jurors may use their own experience to define the action a reasonable person would have taken in the situation experienced by the person charged with negligence.
Each day brings new administrative laws and case law that may change these guidelines. That is, yesterday you might be permitted to look at all the information about a patient and tomorrow you may only be allowed to view a portion of that information. Therefore, it is important to review and adhere to the latest guidelines used by your healthcare facility. Following these guidelines lessens the chances that you and the healthcare facility will become involved in a legal action. 86] at [07/18/16].
Medical billing and coding demystified by Marilyn Burgos, Donya Johnson, Jim Keogh