HS207
Advanced Billing and Reimbursement
The Agency for Healthcare Research and Quality’s mission is “to produce evidence to make healthcare safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used” (Agency for Healthcare Research and Quality).
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CMS serves the public and works to improve health. They oversee Medicare and Medicaid services as well as offer guidance to private insurance carriers. They set forth regulations and guidelines for all different layers of health related matters from HIPAA to code sets or enforcing rules and regulations.
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HHS’s mission is to “enhance the health and well-being of all Americans by providing effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services” (U.S. Department of Health and Human Services).
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This website gives updates on the ICD-10-CM manual and gives updates regarding codes.
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This website gives updates on the ICD-10-PCS manual and gives updates regarding codes.
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The Free Dictionary is “the world’s most comprehensive dictionary” (TheFreeDictionary).
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The Medicare website has resources from applying for coverage, to managing coverage, to finding a provider, and more.
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The Medi-Cal website contains resources for obtaining coverage as well as related resources. It is also for providers and beneficiaries to obtain information regarding services.
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MentalHealth.gov provides “one-stop access to U.S. government mental health and mental health problems information” (MentalHealth).
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The mision of National Institutes of Health is to “see fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce illness and disability” (National Institutes of Health).
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The National Library of Medicine (NLM) is on the campus of the National Institutes of Health in Bethesda, Maryland. “It has been a center of information innovation since its founding in 1836. The world’s largest biomedical library, NLM maintains and makes available a vast print collection and produces electronic information resources on a wide range of topics that are searched billions of times each year by millions of people around the globe. It also supports and conducts research, development, and training in biomedical informatics and health information technology” (National Library of Medicine).
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The National Uniform Claim Committee (NUCC) is “a voluntary organization that replaced the Uniform Claim Form Task Force in 1995. The committee was created to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from all third-party payers. It is chaired by the American Medical Association (AMA), with the Centers for Medicare and Medicaid Services (CMS) as a critical partner. The committee is a diverse group of health care industry stakeholders representing providers, payers, designated standards maintenance organizations, public health organizations, and vendors” (National Uniform Claim Committee).
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The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) “enforces federal civil rights laws, conscience and religious freedom laws, the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules, and the Patient Safety Act and Rule, which together protect your fundamental rights of nondiscrimination, conscience, religious freedom, and health information privacy” (Office for Civil Rights).
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The mission of the Office of Inspector General is “to provide objective oversight to promote the economy, efficiency, effectiveness, and integrity of HHS programs, as well as the health and welfare of the people they serve” (Office of Inspector General).
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The Substance Abuse and Mental Health Services Administration (SAMHSA) is “the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities” (Substance Abuse and Mental Health Administration).
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The ATSDR is “directed by congressional mandate to perform specific functions concerning the effect on public health of hazardous substances in the environment. These functions include public health assessments of waste sites, health consultations concerning specific hazardous substances, health surveillance and registries, response to emergency releases of hazardous substances, applied research in support of public health assessments, information development and dissemination, and education and training concerning hazardous substances” (Agency for Toxic Substances and Disease Registry).
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WebMD “provides valuable health information, tools for managing your health, and support to those who seek information. You can trust that our content is timely and credible” (WebMD).
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The World Health Organization (WHO) is “a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as ‘the attainment by all peoples of the highest possible level of health’” (World Health Organization).
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