Medical Terminology

Jimmy Nazario
Fifth Week Application Assignment
Prof. Paula White
MBC 105: Insurance, Billing and Coding I

05 Application Assignment
1.   Admitting Clerk – registers the patient by interviewing and obtaining personal (demographic and insurance information and admitting diagnosis or symptoms.
2.   Insurance Verifier – may work either at the hospital or from home, reads the photocopied insurance identification card and may telephone the patient or physician for additional data.   During or after admission, the insurance verifier’s primary responsibility is to either swipe the card through scan equipment or contact the insurance plan by either a computer or telephone to verify eligibility, predetermine coverage, and obtain authorization if necessary.
3.   Attending Physician, Nursing Staff, and Medical Transcriptionist – It is the attending physician’s responsibility to dictate a history and physical (H&P) on admission that lists the admitting diagnosis.   A medical transcriptionist transcribes the dictation into a report form.   The nursing staff and the attending physician enter daily notations on the patient’s medical record as the patient receives medical services.  
4.   Health Information Management (HIM) – The HIM is composed of the following:
- Medical Records Clerk – assigns a medical record number at the time of admission.   The medical record number never changes (even on future admits), and all records are complied under this number.
- Discharge Analyst – checks the completeness of each patient’s medical record for dictated reports and signatures.   He or she completes a deficiency sheet that is put on the medical record indicating any documentation deficiencies.
- Code Specialist – Abstracts procedures and diagnoses from the patient’s health record and assigns the appropriate codes for the services given.
5.   Nurse Auditor or Utilization Review (UR) Nurse – Registered nurse that verify the doctor’s orders and the medical record against each...