Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Health care organizations that participate in all of the health care plans are reimbursed according to the policy or contract of each health care plan. As discussed in Phase 1 of this course, the following insurance plans each have specific guidelines, rules, and regulations that govern the contracts, coverage, and payment methods made to health care facilities.
Each of the five insurance plans (Medicare, Medicaid, TRICARE, worker’s compensation, and commercial insurances) are governed by either federal, state, or local agencies, or they are administered by private organizations and businesses.
List the five insurance plans, identify who governs each plan, and describe what type of reimbursement or payment system each plan uses. Focus your discussion on the following questions:
Why is it important to stay current with the guidelines for each?
Should mandatory training be provided for insurance billing and coding? Explain your answer.
Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:
What did you learn from your classmate’s posting?
What additional questions do you have after reading the posting?
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates’ postings?
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