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Complete MBA For Dummies Cheat Sheet
Before you earn an MBA (Master of Business Administration) degree, you can still apply MBA-level knowledge in your career: Be a better business manager by efficiently delegating responsibilities among [more…]
Grasping the Mediation Process
Having a structure in place helps ensure that parties stay on track and progress toward a resolution for their dispute. The process isn’t always linear, but it does have several stages that go something [more…]
Exploring Mediation Fundamentals
To be a master mediator, you need to master certain fundamental skills, strategies, and techniques. The following are all traits of a well-trained mediator: [more…]
Success as a Mediator For Dummies Cheat Sheet
To achieve success as a mediator, you need to be able to talk the talk, walk the walk, and show everyone in your market just how good you really are. You'll need to understand the mediation process and [more…]
Checking Out Different Mediation Styles
Mediation isn’t a one-size-fits-all approach to dispute resolution. You should choose the mediation technique that you’re most comfortable with and that serves the parties’ interests better than other [more…]
Brushing Up on Mediator Lingo
You can often help parties resolve their dispute by shifting their attention from their legal rights and remedies to the interests that each party is attempting to serve in pursuing legal claims. To do [more…]
Reading Payer Contracts for Key Medical Billing and Coding Details
Insurance companies (payers) offer various levels of coverage to their members, and as the medical biller/coder, you must be able to navigate payer contracts to gather the information you need to prepare [more…]
Medical Billing: Filing a Clean, Error-Free Claim
A clean medical claim is one that has no mistakes and can be processed without additional information from the provider or a third party. It's correct from top to bottom. A clean medical claim meets the [more…]
Ten Must-Know Medical Billing and Coding Acronyms
The world of medical billing and coding is like one big bowl of alphabet soup because using abbreviations and acronyms in medical records saves time. Each medical office will have its own most frequently [more…]
Medical Coding: Switching from ICD-9 to ICD-10
The International Classification of Diseases (ICD) is a list of medical classifications used in medical coding. ICD-9 has been used in the United States since 1979, but ICD-10 is coming, ready or not. [more…]
Medical Billing & Coding For Dummies Cheat Sheet
Working as a medical biller and coder is a challenging and rewarding job that takes you into the heart of the medical industry. To succeed, you'll need to know how to file an error-free claim, important [more…]
What’s the Difference between Internal and Payer Medical Coding Audits?
Several different kinds of medical billing and coding audits exist, both internal and those done by payers, but all refer to an independent review conducted by a different person with coding background [more…]
The Do’s and Don’ts of HIPAA Compliance for a Medical Biller/Coder
Ultimately, all employees, including medical billers and coders, within an organization bound by HIPAA are responsible for maintaining compliance to the best of their abilities. [more…]
When Unbundling Is Okay for a Medical Coder
Sometimes, unbundling is supported and a medical coder can do so. For example, if the provider performs a procedure that is listed as inclusive but does so through a separate incision, you can unbundle [more…]
What are Contractual Exclusions for a Medical Coder
For a medical coder, exclusivity may be a reference to procedures or it may relate to contractual terms. Payer contracts may pertain to the type of plan — Health Maintenance Organization [more…]
What are Mutually Exclusive Procedures in Medical Billing and Coding?
Mutually exclusive procedures in medical billing and coding fall into two basic categories. Using basic medical knowledge and common sense, the biller/coder can quickly learn to recognize potential problems [more…]
How the Operative Report Is Used to Medically Code a Surgical Procedure
As a Medical Coding Professional, when you sit down to code an open procedure, you need to see the operative report, which includes the following: [more…]
How to Use Billing Modifiers in Medical Coding
Medical Coders have found that certain modifiers are appropriate for surgical or diagnostic procedures. Other modifiers are appropriate for claims submitted for reimbursement of office visits, referred [more…]
What is the Difference between Medical Coding and Medical Billing?
Although many people refer to medical billing and coding as if it were one job function, billing and coding really are two distinct careers. Here is a brief description of the tasks and functions associated [more…]
How is a Medical Billing Claim Processed?
Claims processing in Medical Billing and Coding refers to the overall work of submitting and following up on claims. When you’re not interfacing with the three Ps — patients, providers, and payers — you’ll [more…]
What Does a Medical Coding and Billing Associate Need to Know
If you’re going to work in the medical billing and coding industry, you must familiarize yourself with three big “must-know” items: compliance (following the regulations established by the United States [more…]
How to Get a Job as a Medical Coding and Billing Associate
To score a job as a biller and coder, you must get certified by a reputable credentialing organization such as the American Health Information Management Association [more…]
Why is ICD-10 Important to a Medical Coding and Billing Associate?
As soon as you get your first medical billing and coding job — and probably even before that — you’ll start hearing about something called ICD-10, which is the 10th edition of the International Classification [more…]
What is Medical Coding?
The medical coder’s job is to extract the appropriate billable services from the documentation that has been provided. The coder is given the office notes and/or the operative report as dictated by the [more…]
Tasks a Medical Coder Does to Prepare a Billing Claim for Submission
The job of coder starts with the documentation provided by the physician. This documentation can take the form of an operative report or an office note. [more…]
