Week 1 Discussion: An Introduction to Health Insurance

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.