Showing posts with label US healthcare. Show all posts
Showing posts with label US healthcare. Show all posts

Sunday, 28 April 2013

Healthcare Reform in form of ICD 10 in Healthcare insurnace



Healthcare industry in US brings one more change as most innovative of itself. We all know about ICD codes. From past decades US healthcare Industry was  working of ICD 9 codes. Now to drill down more appropriate coding as per disease and increase in various health issues Healthcare industry in world had taken steps and introduced new range of coding and named them as ICD 10. Different parts of world have already started using ICD 10 in their healthcare insurance but US being one of the vast and biggest contributor in this industry is now changing to ICD 10.

ICD 10 is equivalent to learning another language and this will require proper training and education.
In US the pace at which hospital administrators , health professionals and compliance employees are moving toward this ICD 10 transition has raised concern among Healthcare industry leaders. As per Latest survey about 20 percent of small and mid sized hospital have yet to begin any education or training for what's been billed as once the biggest of US healthcare industry of World healthcare industry shifts to ICD 10.
The surveys says that nearly half are lagging behind on the centers for Medicare and Medicaid services timelines for ICD 10 preparation  Surveys results shows that 40 percents of have not begun ICD 10 CM Training for coding staff , 55 percents have not begun ICD 10 PCS training for coding staff , 47 percent have not begun document improvement education for medical staff and about 31 percent do not plan to dual code prior to Oct 1 ,2014.
It is clear that the industry is not making the amount of progress that is needed for a smooth transition  Factors that are contributing to this slow progress includes the change of compliance dates , completing internal priorities and other regulatory mandates. Also despite they know they have to change to ICD 10 respondents are planning to submit ICD 10 coded claims to payers for testing prior to the transition.




Thursday, 31 January 2013

Health Care and Health Insurance

                                            US Healthcare Insurance and Plans



In the United States, if you are not covered by a medical healthcare insurance plan (medical insurance), you have to pay for health care services yourself, which leaves you vulnerable to enormous unexpected costs for serious illnesses. 

The two major ways to obtain health insurance coverage are by paying into a group health insurance plan offered by your employer or buying an individual healthcare insurance plan. There are a variety of different health insurance plans, but you may commonly encounter these major types:

•Fee-for-Service Health Plans
•HMO: Health Maintenance Organizations
•POS: Point-of-Service Plans
•PPO: Preferred Provider Organizations


Understanding health care plans can be very complicated. In choosing a health insurance plan, you need to compare health insurance plan benefits, costs, location of services, exclusions, and more. 

This guide provides a list of health insurance questions you can ask to healthcare insurance providers, different health insurance terms, as well as common medial terminology to help you make an informed decision and choose the health plan that is best for you. 
There are listings in different pages which provide tips on researching the quality of health insurance plans, including how to determine if the health plan you like is beneficial , and how to research and choose doctors.

To understand more about Medical Healthcare Plans in US or in any other country you may visit Page heading with Understanding Medical Healthcare Insurance Plans. For any other country you may refer same page as basic idea behind Health Insurance is same in all country. 

Friday, 19 October 2012

Medical Healthcare - Dental Care


Dental care practitioners

A dental care practitioner is a health worker who provides care and treatment to promote and restore oral health. These include dentists and dental surgeons, dental assistants, dental auxiliaries, dental hygienists, dental nurses, dental technicians, dental therapists, and related professional titles.

Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, the maxillofacial area and the adjacent and associated structures, and their impact on the human body. Dentistry tends to be perceived as being focused primarily on human teeth, though it is not limited strictly to this. Dentistry is widely considered necessary for complete overall health. Doctors who practice dentistry are known as dentists. The dentist's supporting team – which includes dental assistants, dental hygienists, dental technicians, and dental therapists – aids in providing oral health services.

Lets take an example of Maxillofacial.
Oral and maxillofacial surgery is the surgical specialty concerned with the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck.
Consultant specialists working in this area are variously termed oral surgeons, maxillofacial surgeons or oral and maxillofacial surgeons.

So this may come under dental care practitioners and can come under surgical also. This type of treatment are included in most of healthcare insurance policies and plan .

Dentist also encourage prevention of oral disease through proper and regular brushing of teeth and regular checkups. Many studies have proved that gum disease is one of the main factor in increased risk of diabetes , heart disease etc.

About the specialties of dentist different part of world have different opinions. Lets take about world's leading Healthcare Insurance country America (US Healthcare). They recognize nine dental specialties .
Public health dentistry
Endodontics
Oral and Maxillofacial pathology
Oral and Maxillofacial radiology
Oral and maxillofacial surgery
Orthodontics
Pediatric dentistry
Periodontics
Prosthodontics
General dentistry