Week 1 discussion: an introduction to health insurance

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introduction:

Billing for a procedure may be a complex process. It is important to have a clear picture of the flow of tasks that make up the completed process of billing and the resources needed for the work to be completed.

Tasks:

  • List the steps involved in billing a commercial insurer for a broken finger treated in an urgent care clinic.
  • Describe any regulatory issues encountered in billing for this case.
  • Identify the procedure code and the diagnosis code for this treatment.
  • Identify the resources needed to fill out the claim form.

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