Student’s Name Course Date Medical Billing Errors Introduction Medical billing errors it refers to the mistakes that occur during the entire process of payment within the united states health system. For the healthcare institutions to be financially stable they must take the necessary initiative in managing and implementing the controlling measures in curbing the billing errors. The entire process involves the healthcare provider submitting and making follow-ups insurance companies for the payment of the services offered such as treatment. There are five major types of medical billing errors namely; missing information submitting perfect and minimize the billing errors in the healthcare industry. The entire team or department must account for the occurrence of the errors in the industry and as a result there would be a sense of responsiveness and systematic fixing of the mistakes. Works Cited Boerger Gene et al. "Method and system for estimating the financial liability of a patient for a medical service." U.S. Patent No. 8 645 162. (4 Feb. 2014) 11-30. Hobgood Cherri et al. "Medical errors—what and when: what do patients want to know?" Academic Emergency Medicine9.11 (2002): 1156-1161. [...]
read https://books.google.com/books?id=GEgfPona-g4C&pg=PT1&lpg=PT1&dq=chapter+6+billing+system+respiratory&source=bl&ots=sbZdkZsHj3&sig=Yelv39wNG6KzmiVcTvzzpjf04x4&hl=en&sa=X&ved=0ahUKEwio_oTl9M7ZAhXD5IMKHRsLDucQ6AEINjAB#v=onepage&q=chapter%206%20billing%20system%20respiratory&f=false Please read and review the text Chapter#6 "Billing Systems", Appendix-C “Glossary of Reimbursement Terminology” and the attached supplemental article from the AARC on RC-related billing Codes. An investigation by the Center for Public Integrity has found that physicians and other medical professionals have steadily billed higher rates for treating elderly patients on Medicare over the last decade- adding an estimated $11 billion to their fees and signaling a possible rise in medical billing abuse. Medical groups argue that the fee hikes are justified because treating seniors has grown more complex and time-consuming, both due to new technology and declining health status. The rise in fees may also be a reaction to years of "under-charging", and reflect more accurate billing. The fees are currently based on a system of billing codes that is structured to make higher payments for treatments that take more time and effort (more acutely ill/complex patients). However, the Center’s analysis of Medicare claims from 2001-2010 revealed that over time, thousands of providers turned to more expensive Medicare billing codes, while spurning use of cheaper ones. They did so despite little evidence that Medicare patients as a whole are older or sicker than in past years, or that the amount of time doctors spent treating them on average was rising. Based on the information contained in the text, please discuss several of the more common billing errors noted in audits. How can RC managers help to reduce billing errors and unintended fraudulent billing practices?