1. Under what types of circumstances might medical insurance specialists need to utilize GEMS?
GEMs are nothing but General Equivalence Mappings used in the healthcare system. The Medical Insurance Specialist can use it to identify the most appropriate and accurate ICD 10 code for translation purposely of the code from ICD 10-ICD 9 and vice versa.
1. Should medical insurance policies restrict certain excluded services? Why or why not?
8. Why would the medical billing specialist need to use HCPCS codes for patients other than those covered by Medicare?
1. Should the gender rule be used to determine primary insurance for dependent children? Why or why not?
2. For the average patient, which would be the preferred health insurance plan, indemnity or managed care? Why?
3. Should spouses have the right to view each other's medical record without authorization?
1. As a consumer of healthcare services, what advantages and disadvantages are there to electronic health records?
4. What is the benefit of having business associates adhere to the provisions of HIPAA?
4. The code numbers are listed in the Alphabetic Index. Why not code directly from it?
2. Why is it important for WHO to standardize codes to be used worldwide?
4. While on a skiing vacation, you break your leg and are treated by a local provider. Upon your return home, your PCP removes the cast. Explain why or why not to use bundled code.