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Which of the following steps comes after checking billing compliance in the standard medical billing cycle?

Option 1: Claim submission
Option 2: Patient registration
Option 3: Insurance verification
Option 4: Coding and billing

User SmootQ
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1 Answer

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Final answer:

In the standard medical billing cycle, coding and billing follow the verification of billing compliance, involving the assignment of codes to procedures and diagnoses. This step is essential for accurate reimbursement and financial viability. So, the correct option is Option 4: Coding and billing.

Step-by-step explanation:

In the standard medical billing cycle, the logical progression after checking billing compliance is Option 4: Coding and billing. This step involves the meticulous assignment of standardized codes to the various medical procedures and diagnoses associated with a patient's care. Proper coding is essential for accurately representing the complexity and specificity of the healthcare services provided. By translating medical jargon into universally recognized codes, healthcare providers ensure that the information on the services rendered is communicated clearly and comprehensively to payers.

Coding and billing are pivotal not only for transparent and standardized medical records but also for the financial health of healthcare organizations. The coded information forms the basis for claim generation and submission to insurance providers or government agencies for reimbursement.

Accuracy in coding directly influences the amount of reimbursement received, making it a critical link in the revenue cycle management of healthcare facilities. This step bridges the gap between the clinical aspects of patient care and the financial aspects of reimbursement, contributing significantly to the efficiency and sustainability of healthcare operations.

User Lpiepiora
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