Question

Part 1: For this writing assignment, please explain why the following course objectives are important for medical billers and coder to understand:

Recognize different types of facilities that would employ allied health personnel and discuss options available for certification.

Explain the history and impact of health insurance on health care reimbursement process and recognize various types of health insurance coverage.

Identify the key elements of a managed care contract and identify the role HIPAA plays in the health care industry.

Part 2: Choose either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) and describe the certification process for at least two certifications within the organization that you choose.

Please provide information on the following.

Eligibility

Exam costs

Areas of focus

Test information

Answer 1

Course objective of allied health science is to provide non mediational rehabilitation to ensure their complete functional independence in life. For the proper referral to respective departments a medical biller must know the importance and objectives of the allied health sciences like occupational therapy. Medical coder documents all the details of the services provided to the patient in a codes, this can help practitioner as well as patient in future reference and treatment, so the medical biller have to be aware of the importance of objectives and services provided by allied health sciences, a medical biller and coder also have to be aware of the area of works in order to assign or to refer patients and for the proper coding and documentation.

History of health insurance started from the ancient time itself, during those days itself china and England had their health insurance plans. Many health professionals were not willing to accept the concept of health insurance because of the fear that insurance schemes may decrease their fee amount.in the 1940s to 1960s, there was a slow, steady, but seemingly reluctant growth in health insurance.

The competition between the health insurance companies made the in-insurance schemes wide spread along the world, at the same time it reduced the quality of service and many companies were not providing health insurance for the high-risk diseases.

Various types of health insurance include,

Individual health insurance

Family health insurance, whole family, spouse, children and parents

Group health cover: corporate houses

Senior citizen health insurance: for older adult 65 and above

Super top up policy: used to increase the validity of the health insurance

Critical illness health cover