It is Friday September 30, 2012, and you are having lunch with a
friend who works at another physician’s office. During the course of
the conversation, she asks you if your office is ready to handle the
ICD-10 transition from ICD-9 Diagnostic coding. You look at her with a
blank stare and ask, “What transition?” She explains how everything is
going to change, including the format and number of digits. You realize
that since the medical billing specialist left for maternity leave six weeks ago, that no claims have gotten billed.
What process will you take to get those claims filed?
Is there time before Monday when the change takes effect?
Oh no, will it be better to electronically file the claims over the
weekend in the ICD-9 format; Go thru a clearinghouse; or print
everything out on paper, hoping the claims will be considered under the
ICD-9 format and not under the ICD-10?
Explain your choice.
You have just graduated as a Medical Administrative Assistant
and have your first interview. This would be the ideal dream job you
have worked so hard to get. But you need an edge over all of the other
applicants and have been made aware that you will have to provide a
presentation to the prospective Office Manager over Managed Care.
You ask—What is that?
What do you do?
Compare and contrast managed care plans by researching at least three prominent insurance plans in your local area.
State the reasons managed care plans give for rising health care costs and how they actually decrease those costs.