Concept of the Pygmalion Effect and the Golem Effect
MSL 680 Module Five Lecture Notes and Discussion Questions Module 5 Discussion topics include: 1. Follower motivation and satisfaction 2. Groups versus teams Assignments for Session 5 include: 1. Text: Chapters 9-12 Chapter 9 deals with the very important topic of motivation. This topic is quite complex and is usually covered in an organizational behavior […]
Attention to Detail and the CMS-1500 Claim Form
Producing a clean claim is one of the important goals for billing specialists. Attention to detail and accuracy should be at the forefront when submitting a CMS-1500 claim form for reimbursement. Ensuring that the insured person’s name is exactly as it appears on their insurance card is one step toward producing a clean claim. Additionally, […]
Medicare
We have talked a lot about Medicare during this course because not only is it the largest single health care program in the U.S., but it often sets the standard of practice for other insurance groups. Using this video, review some of the features of Medicare and how Medicare has influenced health care in general. […]
Reimbursement Methodologies
A clean claim is a submitted claim without any errors or other issues, including incomplete documentation that delays timely payment. There are several required elements for a clean claim, and medical bills are denied if elements are incomplete, illegible, or inaccurate. A clean claim meets all the following requirements: · Identifies the health professional, health […]
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed by the Centers for Medicare and Medicaid Services (CMS) to eliminate improper CPT coding, detect inappropriate CPT codes on claims and deny payment for them. NCCI edits are released 4 times a year. Significant to NCCI is the term “Mutually Exclusive.” Mutually exclusive procedures are those procedures […]