HCA- 240 November 15, 2020 Professor Chip Coon Biller / Benefits Coordinator Interview

HCA- 240 November 15, 2020 Professor Chip Coon Biller / Benefits Coordinator Interview In the healthcare sector, several functions are essential to a healthcare facility's functioning, but medical agents and coders are most important. It is the primary duty of medical coders and billers to examine patient medical notes and allocate the required diagnosis and treatment codes, also known as procedural codes. is a medical coder and biller aged 39 years and interviewed on November 12, 2020. Ann works for Northwestern Medicine Central DuPage Hospital, Illinois. She also supervises the coding of health departments and specializes in E&M codes for the emergency sector and also a medical co-coder (Personal Contact, November 12, 2020). The paper would also address the premiums variations between insurance funds, third- party insurances and Medicare / Medicaid, medical fees, and pricing systems. Payment System Variations The mechanism for charging for health care for each patient is different, and the charge for medical services is organized based on the status of the payment for each person as opposed to other types of trade. Ann described that cash payers are the simplest since there is no third- party insurance or subsidized insurance that the person must charge. The payment rate is also base on the health facility's regular service rates (Personal Contact, November 12, 2020). Payers from third parties are businesses that pay for a person's insurance expenses not funded by the government, for example, Cigna, United Health Care, Blue Cross Blue Shield, Etc. Sommers,