Describe Scheduling Techniques and List the Objectives of Scheduling

question 29

Essay

Describe scheduling techniques and list the objectives of scheduling.

---

Definitions:

Utilization Review

Refers to an evaluation of health care services to determine the medical necessity, appropriateness, and cost-effectiveness of the treatment plans for a given patient.

Medical Coder

Uses an alphanumeric coding system for all diagnoses and all procedures in a manner that results in the maximum reimbursement for the provider and in fewer fees billed to the patient.

Accurate Claims

Insurance or billing claims that are correctly and truthfully reported, ensuring proper handling and processing.

Blue Cross

A health insurance company known for providing healthcare plans and insurance services to individuals in various regions.