Create a flow chart using Microsoft® Word illustrating the five steps of the claims adjudication process from the time of initial processing through final payment.

Resources: Appendix A; Medical Insurance; and Microsoft® Help website

 

Refer to Ch. 13 of Medical Insurance and previous assignments from that chapter as a resource. Visit Microsoft® Help (http://support.microsoft.com/) for assistance with questions related to creating a flow chart in Microsoft® Word.

Create a flow chart using Microsoft® Word illustrating the five steps of the claims adjudication process from the time of initial processing through final payment. Include a brief 260- to 350-word explanation for the following:

• Identify the purpose for each step in claim adjudication process.
• Explain the relationship between each of the different steps.
• Provide a one-sentence summary describing how claims adjudication is important to the medical billing process.

Post your flow chart and explanation as an attachment.

 

Associate Level Material

Appendix A

Final Project Overview and Timeline

Final Project Overview

Part A of the final project requires you to exercise critical thinking skills as you compose an original medical office financial policy. This project requires you to suspend judgment and apply problem-solving skills and methods while conducting research. You will form evaluative decisions and provide your rationale after considering how you would design a medical office financial policy.

In Part B, you identify the type of facility your medical policy covers. Then, summarize the reasons why you believe your policy is best suited to this type of facility and explain your rationale in 550 to 700 words.

Final Project Timeline

You should budget your time wisely and work on your project throughout the course. As outlined below, some assignments in the course are designed to assist you in creating your final project. If you complete your course activities and use the feedback provided by the instructor, you will be on the right track to successfully complete your project.

· Suggested in Week One: Review the project description in Week Nine. Begin thinking about the components of sound medical office financial policies and procedures.

· Suggested in Week Seven: Complete the rough draft of your paper and submit it to the Center for Writing Excellence.

· Due in Week Seven: Effective Financial Policies and Procedures assignment. Apply the same methods in this CheckPoint to Part A of your final project, where you will design a financial policy.

· Due in Week Nine: Submit your final project.