Instructions

NCF:

This final project assignment is associated with the NCF (non-completion failure) grade. Failure to complete this assignment will result in the issuance of a grade of NCF if the course average would result in a failing grade in the course. Students should contact their Academic Counselor or Program Director if they have any questions regarding the NCF grade and its implications.

Introduction:

In order to properly code a bill for medical necessity, it is important to understand different plans and the requirements for billing each. It is true that they all use the ICD-10-CM diagnosis coding system, the CPT procedure coding system, and the CMS-1500 form, but each type of carrier has certain requirements for a clean bill.

Tasks:

  • Create a billing manual constructed of summaries of each type of insurance.
  • Include the major requirements for billing for each type.
  • Note inpatient or outpatient differences where appropriate.
  • Explain how to determine from the patient which type they subscribe to.

Submission Details:

  • Submit this topic as an 8- to 10-page Microsoft Word document. Use APA standards for citations and references.
  • Cite a minimum of three outside peer-reviewed sources to support your assertions and save it as SU_HCM1201_W5_Project_LastName_FirstInitial.doc. Submit the report to the Submissions Area by the due date assigned.
  • Cite any sources using correct APA format on a separate page.
 
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