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MDHHS: Billing, Coding, and RCM in the Family Planning SettingMarch 2021Billing, Coding, and Revenue Cycle Management in the Family Planning Setting Presenter: Ann Finn Healthcare Reimbursement Consultant AF Consulting, LLC March 25th and 26th, 20211IntroductionsAnn Finn518.522.8159 ann@annfinnconsulting.com www.annfinnconsulting.com A NYS and NYC certified Women Owned Business (WBE)22Agenda Day 1 Introductions Revenue Cycle Management Front End Clinical Encounter
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01
Gather all patient information including demographics, insurance details, and medical history.
02
Ensure that all services provided are properly documented in the patient's medical record.
03
Assign appropriate medical codes for each procedure and diagnosis using standard coding systems like ICD-10 and CPT.
04
Verify that the coding aligns with the documentation to avoid discrepancies.
05
Enter the coded information into the billing software ensuring accuracy.
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Review the billing data for completeness and any potential errors before submission.
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Submit the billing claim to the appropriate insurance provider or payor.
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Follow up on submitted claims to ensure timely processing and address any denials or appeals.

Who needs coding billing amp revenue?

01
Healthcare providers and professionals who offer medical services.
02
Medical billing specialists who manage coding and billing processes.
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Administrative staff responsible for revenue cycle management.
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Healthcare facilities like hospitals and clinics that must bill for services rendered.
05
Insurance companies that require accurate coding for claim processing.
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Coding billing and revenue refers to the process of translating medical services into standardized codes for billing and revenue cycle management, ensuring that healthcare providers receive appropriate compensation for the services rendered.
Healthcare providers, including hospitals, clinics, and practitioners who seek reimbursement from insurance companies and government programs, are required to file coding billing and revenue.
To fill out coding billing and revenue, one must gather the necessary patient information, assign appropriate medical codes, complete the billing forms accurately, and submit them to the payer for reimbursement.
The purpose of coding billing and revenue is to ensure accurate and efficient billing for healthcare services, optimize reimbursement, and maintain compliance with regulations, while also providing a clear financial record.
The information that must be reported includes patient demographics, medical codes for services rendered, date(s) of service, provider details, and charges associated with the services.
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