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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