Types of Health insurance coverage and billing

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HealthcareBillingCodingClassWeek5Project.docx

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