introduction about patient reimbursement and insurance

Expert Solution

insurance is the term or concept which provide protection to the people (in terms of monetary benefit) against some event (like accident , admitted in hospital etc)

healthcare services provider paid by insurance company or government by reimbursement.person or individual has to take insurance policy from the service provider for that they have to fill form and pay some amount to the insurance service provider as per policy. premium has to pay to the insurance company on particular interval.

when that person get hospitalise hospital can send expenses occur for the patient by sending bills to the mediclaim service provider and that company will do reimbursement for the same. while doing reimbursement company will not reimburse all the money which occurs during the the treatment. as per policy mediclaim company will reimburse some percent of money to the hospital like 90%, 80% that depend on the policy which person is taking. another way of reimbursement is patient can pay to hospital whatever charges incurred while taking treatment and after discharge he can submit bills to the insurance company and can get reimbursement.

keosha answered 2 years ago

Introduction about insurance and patient reimbursement.

Healthcare Insurance Coding, Billing, and Reimbursement Introduction: In order to properly code a bill for medical...

Healthcare Insurance Coding, Billing, and Reimbursement 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...

The Course is Introduction to Healthcare Insurance Coding, Billing, and Reimbursement List at least six types...

The Course is Introduction to Healthcare Insurance Coding, Billing, and Reimbursement List at least six types of coverage organization from single-payer to universal coverage. Describe their main features. Contrast them from the standpoint of billing. Distinguish the public-financed types from the commercial-type coverage in terms of regulations.

Introduction to Healthcare Insurance Coding, Billing, and Reimbursement Medicare and Medicaid are federal programs that cover...

Introduction to Healthcare Insurance Coding, Billing, and Reimbursement Medicare and Medicaid are federal programs that cover a large proportion of the US population with healthcare. The two have similar objectives in the area of providing care, but there are significant differences in them that concern reimbursement. Tasks: Describe each program, Medicare and Medicaid. Provide the major features of each program. Discuss how these programs differ from each other. Briefly describe the process of how to bill for each program.

The subject is: Introduction to Healthcare Insurance Coding, Billing, and Reimbursement Can you provide examples of...

The subject is: Introduction to Healthcare Insurance Coding, Billing, and Reimbursement Can you provide examples of a charge for the following: ambulance fee schedule, ambulatory surgical center payment, clinical laboratory fee schedule, durable medical equipment prosthetics orthotics and supplies fee schedule, end-stage renal disease composite payment rate system, home health prospective payment system, hospital inpatient prospective payment system, hospital outpatient prospective payment system, inpatient psychiatric facility prospective payment system, inpatient rehabilitation facility prospective payment system, long term acute care hospital...

Subject/Class: Introduction to Healthcaare Insurance Coding Billing and Reimbursement Commercial insurance ranges from individual health coverage...

Subject/Class: Introduction to Healthcaare Insurance Coding Billing and Reimbursement Commercial insurance ranges from individual health coverage to automobile liability coverage. All commercial policies have similarities and differences, and there are critical areas to address in billing for each type. Tasks: Describe at least three commercial insurance programs. Provide the major features of each program. Discuss how these programs differ from each other. Briefly describe how to bill for each program. Please cite references

Based the excerpt, HEALTHCARE INSURANCE AND REIMBURSEMENT METHODOLOGIES, Explain in detail the difference between Generic Reimbursement...

Based the excerpt, HEALTHCARE INSURANCE AND REIMBURSEMENT METHODOLOGIES, Explain in detail the difference between Generic Reimbursement Methodologies. Your answer should compare on contrast; Fee-for-Service Methods, Cost-Based Reimbursement, Charge-Based Reimbursement, Prospective payment, Capitation. Your answer would include how CPT and ICD codes play a role in each of these methodologies. Your answer should consist of a minimum of 400 words.

Writing about the patient suffering from GERD using the following: Introduction Patient teaching Nursing diagnosis Symptoms...

Writing about the patient suffering from GERD using the following: Introduction Patient teaching Nursing diagnosis Symptoms and cause Identifying the cause, what to use to identify the cause Labs Scenarios of the above And head to toe assessment Summary

What are some features of the ACA that affect healthcare insurance and reimbursement?

Discuss the different reimbursement methods of private health insurance plans

Question