Billing and Coding Essay Example for Free

Billing and Coding Essay Healthcare Common Procedure Coding System (HCPCS) Level II entail nationwide codes used to report supplies and services offered within outpatient locations to Medicaid and Medicare patients that are left out by HCPSC Level I (Current Procedural Terminology -CPT) code. Recent HIPAA federal regulations require regular electronic claims to have Level II regulations. Many big countrywide players, like employee’s compensation financiers, acknowledge HCPCS level II regulations. Local Medicare transporters, business publishers, CMS, or Ingenix provide such codes (Smith, 2003). Suitable HCPCS level II regulations come before CPT codes regarding Medicare invoicing. However, numerous private players choose National Drug Codes (NDC) or Level I regulations instead of HCPCS Level II regulations, which may confuse medical care experts, thus causing denial of claims. Medical care experts ought to confirm that they are describing the correct regulations to the appropriate players through careful tracking of the billing and reporting needs of specific players. Level II regulations Describes Many heath products, however, such codes do not name real products or endorse them by assigning codes. Additionally, generation of such codes happens separate from reimbursement issues. Therefore, Level II regulations only serve to indicate the availability of a service or product in the wider health system, as opposed to justifying reimbursement (Smith, 2003). Players individually develop HCPCS Level II regulations’ criteria and rules which vary between players. HCPCS Level II regulations are comprised of a single alphabetical character (from A to V), then 4 digits. Letter ‘I’ is excluded since it may easily be confused with number ‘1’. Every letter group represents one or more areas of comparable services or products. Every letter group, and code illustrations from specific sections, are fully described on ensuing screens (http://docs. google. com/gview? a=vq=cache:DIuMS2X_QrgJ:www. ngsmedicare. com/ngsmedi are/DMEMAC/educationandSupport/ToolsandMaterials/SupManual/chapter14. pdf+Level+II+o +HCPCS+applies+and+Medicarehl=engl=ke). A regulations deal with various products and services, particularly tracheostomies, urologicals, and ostomies-related supplies. A codes also include Affordable DME, or equipments costing not more than $150, such as nebulizer substitution equipment. A code subcategories include: transport services; surgical and medical supplies; and miscellaneous, investigational, and administrative supplies and services. B codes handle parenteral and enteral nutrition services and supplies. B code-reported supplies include: feed supplies; dietary solutions; formulae; and combination pumps. C codes cover services compensated under Medicare’s OPPS -Outpatient Prospective Payment System. They don’t cover services compensated under different Medicare reimbursement systems. Private entities as well use C codes for compensation. Such codes are mandated by Medicare to report: biological, devices, and drugs qualified for intermediary pass-through imbursements for health facilities; and items categorized within fresh technology Ambulatory Payment Classifications (APC). D codes entail dental regulations. The American Dental Association (ADA) has copyrighted the Current Dental Terminology (CDT). ADA supplies such codes to CMS. E codes document Durable Medical Equipment (DME) like crutches, canes, commodes, walkers, pacemakers, restraints, wheelchairs, hospital beds, and patient lifts. G codes report professional medical care services and processes such as specialized services being considered for incorporation within the CPT code scheme and provisional procedures. National Medicaid organizations legally mandated to develop separate systems for recognizing psychological health services such as drug therapy and alcohol services use H codes. J codes describe drugs which are not normally self-administered, immunosuppressive and chemotherapy drugs pant solutions, plus other solutions and drugs. The proper code depends on factors like; dose; and administration route. K codes entail temporary DME, drugs, and supplies codes. They are generated when the relevant existing nationwide codes exclude codes needed to execute medical evaluation policies. Once endorsed for lasting incorporation into HCPCS, such codes become E, J, and A codes. L codes comprise of scoliosis apparatus, prosthetic insertions, orthopedic shoes, plus prosthetic and orphic devices and procedures. M codes cover medical services and they include: M0064; M0075; M0100; M0300; and M0301. P codes cover laboratory and pathology services and include screening laboratory and pathology services like testing Papanicolaou procedures and serum products (Smith, 2003). Q codes report many supplies and services including provisional cast provisions codes which facilitate splints and casts reimbursement after the modification of Medicare’s compensation technology. Such codes substitute ambiguous splinting and casting supplies’ codes. R codes cover analytic radiology services and document moving of moveable electrocardiogram or x-ray apparatus to patients’ homes, nursing homes, or different facilities. The Health Insurance Association (HIAA) Blue Cross/Blue Shield Association (BCBSA) uses S codes to document services, supplies, and drugs without countrywide codes, but where private entities require codes for program and policy implementation or processing of claims. Medicaid recognizes such codes; nonetheless, such are not payable. T codes report supplies and services without other stable codes. Medicaid does not accept T codes; however, they may be recognized by private entities. They describe: substance abuse therapy; home and nursing-related services; and training-related processes. V codes cover supplied and services concerned with hearing, vision, plus speech-language pathology. Vision-related provisions include: lenses; spectacles; and ocular prostheses. Hearing services consist of: hearing analyses; and hearing equipment and supplies. Speech language pathology processes include: modification or repair of supportive communication device or system; and dysphagia, language, and speech screening (http://www. lectureshare. com/download. php? q=HCPCS+overview_021532. pdfr=doc. J). References Coding:aTheaUseaofaHCPCSaLevelaIIaCodesa. Retrieved August 6th 2009 from http://www. lectureshare. com/download. php? q=HCPCS+overview_021532. pdfr=doc. J Jurisdiction B DME MAC Supplier Manual. (June 2009). Level II codes and HCPS modifiers. Retrieved August 6th 2009, from http://docs. google. com/gview? a=vq=cache:DIuMS2X_QrgJ:www. ngsmedicare. com/ngsmedicare/DMEMAC/educationandSupport/ToolsandMaterials/SupManual/chapter14. pdf+Level+II+of+HCPCS+applies+and+Medicarehl=engl=ke Smith, G. I. (2003). Basic CPT/HCPCS coding. Retrieved August 6th 2009, from http://library. ahima. org/xpedio/groups/public/documents/ahima/bok1_016767. pdf

cuban mile :: essays research papers

The Special Period in Cuba can best be described as a time of struggle. The dissatisfaction of many Cubans has led to their emigration to the United States by traveling in rafts to the coast of Florida. The Cuban people have different views regarding the trip to exile as well as the motivations to stay or leave Cuba. In Alejandro Hernandez Diaz’s book, The Cuba Mile, and in the movie â€Å"Guantanamera†, we see some of the different ways in which Cuban Culture views the Special Period, the trip to exile, and the motivations behind staying or leaving Cuba.   Ã‚  Ã‚  Ã‚  Ã‚  The year 1991 marked the beginning of the Special Period and hard times have existed in Cuba ever since. Many Cubans are tired of the hardships and shortages of the Special Period. To try and make ends meet many Cubans have adapted to the tough times by making money in the Black Market. In â€Å"Guantanamera†, both the cabdriver and Mariano use the Black Market to make extra money. As they travel across the island, they buy food to be resold at a higher price when they arrive in Havana. Many Cubans feel that the Revolution is no longer working and that it is time for a change. In â€Å"Guantanamera†, symbolism of this idea is clearly demonstrated. In the movie, a story from the Santeria religion is told. The god of Olofin is represented in the movie, Olofin created life but not death. Therefore, everyone lived forever and the elderly people held control and influenced many aspects of society. Nothing ever changed much like the Cuban government which is old and unchanging. Then, one day Olofin made it rain for thirty days and thirty nights. The flood killed the old and only the young survived. The current revolution is old, and is not working as well as it did in the 1970’s. The movie is calling for the need of a natural process, like the rain to come and wash away the old revolution’s ideas so new and young ideas can survive in Cuba. However, many Cubans feel that the situation is not going to change and their desire to leave Cuba is so strong that they risk their lives by rafting across the Straits of Florida in order to gain freedom and opportunities in the United States.   Ã‚  Ã‚  Ã‚  Ã‚  The hardships of the Special Period became so considerable many Cubans chose to take their chances with the ocean. Large quantities of Cubans began to construct rafts in order to escape to the United States. They hoped to either survive the 90 mile trip or be discovered by the U.S. coastguard and brought to the United States.

Myself, the Writer Essay

Every human being in this world has what he or she enjoys doing. On my part, I have a liking for writing and it has become my hobby since my high school years. I developed fondness towards the art of writing after having been encouraged by my language teacher. She used to do a lot of writing and had written several books and articles that were published in journals, magazines, and newspapers. She used to write on virtually every topic especially on issues that were emergent within the society. This teacher became my role model. This paper shall give a summary of the reasons and challenges I meet during writing. Reasons and Challenges in Writing: As stated earlier in the introduction, I developed my desire in writing during my high school days and from that time I have enjoyed every bit of my hobby, writing on almost every topic in the day to day life in the society. One of the main reasons as to why I have a liking for writing is that I have a strong yearning to progress in writing. Writing also assists me in developing new skills and advancing knowledge on various subjects. Writing also helps me in expressing my feelings (Hodges, p 9). There are however many challenges that I encounter in writing. Extra caution is needed when writing due to the strict rules and legislations that have been established to govern writing. These acts to limit the extent to which an individual would wish to express his/her ideas (Elbow, p 12). Writing can also be a challenge in that finding the right words does not come easy. Writing requires total commitment and it may be discouraging especially when you are unable to come up with the necessary words that would express a phenomenon (Elbow, p 26). Writing can not be done in a haphazard manner and therefore requires adequate time and vast research on the topic. Writers get frustrated when some topics of interest do not have enough information upon conducting research. Conclusion: Writing is part and parcel of my life and despite the challenges that I face, I am determined to overcome them and excel. It is only through writing that the unspoken minds can be read and understood. Just like any other field, success in writing requires total commitment. Work Cited: Elbow, Peter. Writing with power: techniques for mastering the writing process, (2nd edn) 1998. Oxford University Press US; ISBN 0195120175, 9780195120172 Hodges, Richard, E. â€Å"The Conventions of Writing. † In Handbook of Research on Teaching the English Language Arts, ed. James Flood, Julie M. Jensen, Diane Lapp, and James R. Squire. 1991. New York: Macmillan.

Countering Human Trafficking - Free Essay Example

Sample details Pages: 2 Words: 597 Downloads: 5 Date added: 2019/05/07 Category Society Essay Level High school Tags: Human Trafficking Essay Did you like this example? Human trafficking is a way people use other humans for money, drugs and pleasure, these people who traffick young people manipulate and and lie to them to make them think that what they are doing is right. People struggle everyday fighting for their lives, everyday is different a whole new battle for them they wake up not free to their own life. Many have been killed and left to be found trying to leave, once youre in youre in and its hard to get out. Due to their horrific experiences, victims of human trafficking often find themselves dependent on an antisocial lifestyle. This tells us that theres multiple side effects of this terrible thing. This is one of them, people who have been in or are in human trafficking are already scared for their life to tell people about it for the fear of not getting help and getting killed for speaking out( Mohr 22). People are so anxious to get out of human trafficking that they commit crimes just to be found and to be placed in a safe en vironment. But in prison you can still get recruited to a trafficker outside because theres girls in prison still working for outside traffickers and they will threaten them into going back into trafficking(Mohr 23). Girls will steal and transport drugs for their leader in turn of not getting raped. People have worked hard to put up organizations to help these people lost in human trafficking to show them that people are there for them and care for them. They have special ways they can notice if someone comes in and they are a human traffick victim. patients sometimes had bruises, were regularly intoxicated, came in repeatedly for sexualy transmitted infections or were angry or shut down(gaven1). They know how to take desperate measures to make these young people that are caught up in human trafficking and to save them from the fear and anger built up from human trafficking. Most of the victims in human trafficking start at an early age and continue on until either they are k illed in the trafficking or get out, but rarely does anyone get out safely(Morh 22). Its hard to treat trafficked victims because theres no specific thing that can tell you if they are being sexually sold. Doctors have a hard time with treating victims because of these reasons. People who are victims are everywhere around us and we dont even realize it. trafficking victims live across the U.S.and all to often are hidden in plain sight: at grocery stores and move theatres, or visiting dentists or doctors offices(gaven2). Doctors should treat victims with care and tenderness and treat them the same they would treat any sexually abused person. But doing that is really hard because you can never tell the difference between someone who is in traffick and someone who is not. The National Human Trafficking Hotline, tallied 8,759 cases and 10,615 individual victims of human trafficking last year. The majority of victims were female, of the adult age and trafficked for sex(gaven 2). Most victims are females many start out at a teenager and end up spending most of their life being trafficked. Though many victims are females there are some that are males. Through the hardships and abuse for however long its hard for victims to talk about what they have gone through. Many have been asked to represent in court to testify what theyve been through but many are to scared and afraid but some end up testifying and putting their past at ease(gaven 2). Don’t waste time! Our writers will create an original "Countering Human Trafficking" essay for you Create order