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School faculty often does whatever it takes to help out a student to ensure they thrive in their educational environment. And then, there is Casey Smitherman, the superintendent of Elwood Community Schools in Indiana, who took nurturing to an extreme when she committed fraud to treat a student with strep throat. Smitherman was booked on […]
The post Superintendent Commits Fraud when Helping Sick, Uninsured Student appeared first on AAPC Knowledge Center.
The rules for medical student documentation were updated by Medicare to remove the requirement of the teaching physician to re-document.
But does anybody know of any rules/regulations/guidelines address student PA and student ARNP documentation?
Any advice on student PA and ARNP would be greatly appreciated.
But be sure you step up your game on meeting attestation and signature requirements. As an ongoing effort to help reduce administrative burden on practitioners, the Centers for Medicare & Medicaid Services (CMS) released an important update for physicians and other clinicians working in teaching institutions. According to CMS’ E/M Service Documentation Provided by Students […]
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Natalie Grimmer
17 Coral Lane
Levittown PA 19055
Cell Phone: 267-304-7173
Email: [email protected]
Experience
November 2013 to Present- Capital Health Institute for Neurosciences
Pennington, N.J.
Billing Specialist
.Oversee the daily submission of claims sent to the insurance companies for busy Neuroscience practice, including review of proper coding
. Work denied claims for coding and medical necessity issues
. Working knowledge of CPT and ICD10 codes
.Log physician and surgeon inpatient consults into Patient Keeper
.Keep current on doctors credentialing status
July 2012 to November 2014 Performance Spine & Sports Medicine
Newtown, PA
Billing and Claims Representative
.Responsible for all aspects of Accounts Receivable follow up for multiple carriers on an out of network level for a multispecialty provider
.Verification and submission of new claims via Zirmed
.Submit reconsiderations and appeals in a timely manner to ensure payment
.Apply deductibles and payments
March 2010 to July 2012 Northeast Management
Huntingdon Valley, PA
Accounts Receivable Representative
. Responsible for all aspects of A/R follow up for Byberry MRI and Diagnostic Center, Tricounty Pain Care and Tricounty Anesthesia Associates, Valley Pain Center and MR Pain Management
. Responsible for resolving outstanding workers compensation and auto claims through contact with attorneys, insurance companies and claimants in a timely manner
. Working knowledge of CPT and ICD 9 codes as well as HCFA claim forms
November 2008 to March 2010 Perioperative Services, LLC
Newark, DE
Audit and Resolution Representative
.A/R follow up on all Blue Cross Blue Shield accounts for Dynamic Therapy Services including Blue Card, Highmark and Personal Choice.
. Working knowledge of payor contracts to ensure accurate and timely billing and payment
. Knowledge of CPT and ICD-9 codes as well as HCFA forms
.Knowledge of payment posting and insurance/patient refund processes
October 2007 to October 2008 Pro Physical Therapy
Newark, DE
Collections specialist
. A/R collection activities for multiple insurance carriers including Workers Compensation and Auto claims.
. Responsible for resolving outstanding workers compensation and auto claims through contact with attorneys, insurance companies and claimants in a timely manner
. Working knowledge of HCFA forms as well as CPT and ICD-9 Codes
January 2005 to October 2007 Pharmerica Pharmacy
Newark, DE
Billing Coordinator
.Ensure accurate billing for multiple long term care and assisted living facilities on a monthly and weekly basis.
.Work discrepancy reports for billing errors and maintain spreadsheets for corporate accounts
.Utilizing the AS400 system for updating resident accounts, along with censuss and face sheets that the facilities send to the business office.
July 1999 to September 2004 Benefit Concepts
Warminster, PA
Medical Claims Repricer
.Accurate repricing of physician and hospital bills for multiple PPOs using the FACTS and RIMS systems as well as the internet based programs
.Troubleshoot any inaccuracies timely
.Knowledge of CPT and ICD-9 codes
.Working knowledge of HCFA and UB92 forms
Education: Bucks County Community College 1993-1994 Newtown, PA
Bishop Conwell High school 1989-1993 Levittown, PA
Certificates: Diploma
Memberships: Active member and student of the AAPC (American Academy of Professional Coders)
Currently working towards CPC Certification
References: Upon Request
Salary Expectation: $ 53-55,000 Annually
Qualified medical assistants are in much greater demand now as compared to the past. Due to current economic scenarios, clinics, hospitals and other medical facilities centers have to use limited resources competently. Qualified medical assistants are now doing tasks generally performed by doctors or nurses.
To begin with, you must acquire a certification. You will come across several programs which will allow you to appear for the certification examination conducted by Council on Accreditation for Allied Health Education Programs or CAAHEP. A list of institutions offering courses that cover the examination syllabus is published by CAAHEP. You can acquire thorough education to become a medical assistant in many ways.
You may join a two-year program that will get you an associate degree. Some of the subjects that you will be studying are anatomy, health care law, physiology and microbiology. Specialization in an area of your choice is also available, for example clinical area or hospital administration.
Some of the courses are oriented towards preparing the candidates for passing the certification exam. By focusing on those aspects that will help you to pass the examination, these courses provide outstanding preparation for becoming a medical assistant.
You can prepare for the medical assistant examination with the help of online courses available on the Internet. To become a thoroughly qualified medical assistant, the best plan of action is to avail of a practical course from a certified institution in addition to taking an online course.
Some clinics and hospitals conduct free courses which provide yet another choice for you to get trained as a medical assistant. You have to simply apply for such a course. It is like an “earn while you learn” program wherein you also receive payment during learning. Perhaps the best possible education is available during such hands-on training as you are allowed to work in real life situations.
You can get a scholarship provided you agree to work in the institution for a stipulated number of years after clearing the exam. As a large number of candidates apply for such courses, only those who possess an excellent academic record and are successful in various interviews are selected.
If you acquire good quality education as a medical assistant, it will enable you to get employment in a hospital or similar institution offering health-care services. This profession is best suited for you if you like helping the sick by working with doctors and nurses.
If you want to find out more about CNA training, then check out CNA Programs.
Related Medical Coding Articles
I am a student and I am working on a project and this one question below is worth 40 points. I am little freaking out because the answer that I got I feel is lacking since this one question is worth so many points. Can anyone help me to see if I left anything out or am I on the right track?
A 71-year-old male patient comes to the hospital after having been previously diagnosed with benign prostatic hypertrophy with urinary obstruction. Due to this condition, the patient is experiencing increased urination, straining during urination, and a continual feeling of fullness after the bladder has been emptied. The physician performs a cystourethroscopyto examine the condition of the bladder and urethra, and then subsequently performs a UroLift transprostatic implant procedure using three adjustable implants.
CPT code(s): ____________________________________________
The answer I got was 52441, 524442 X2
I would appreciate any all all help as this is a self pace program and it is difficult to reach my instructor.