Question

Based on your knowledge of billing and reimbursement, why is selection of the correct principal diagnosis so critical?

Answer 1

Billing and Reimbursement are both the words which we can see usually in hospitals and health care sectors. When the patient is admitted in the hospital, starting from day one to the time of discharge all the medial expenses has to be billed and reports are prepared on the name of patient. On the other hand if the patient is having any insurance on his/her name they can claim their medical expenses by getting Reimbursement. REIMBURSEMENT is a word which repays the money of person where he spent in hospital.

Some diagnosis are identified easier and for those diagnosis billing and reimbursement facilities are available in a easy manner. In some diagnosis that is advanced stage of cancer patient will stay in hospital than the longer period of time, where reimbursement and insurance options in hospital stay has exceeded their limitations. There arise difficulty in claiming of bills on that diagnosis which is of high expenses during hospital stay. they have to approach to insurance company for extension or any problem solving approach for that disease condition. Also one point has to be added that not all the diagnosis qualifies reimbursement. For claiming of those bills hospital administration should me in contact of insurance company.