Medical Care Affects Medical Billing

Running Head: NURSING
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NURSING 1
Medical care affects medical billing
Medical billing is considered as significant part of any medical services whether it is
medical care or medical aid. In country like United States, patients usually make use of their
medical insurance policy to pay bills or directly from their pocket. At present medical billing are
getting expensive due to involvement of advance technology and therefore it has become very
tough for patients to make payment for their medical bills (Gordon et al., 2019). As per the
study, it has been found that in recent years around 13% rise in medical cost. In addition it has
been found that more than half population owes almost $1000 or more money to their doctors. In
medical care one of the most affective elements is error in the medical billing which directly put
additional load on the pocket of the patient (Kacha et al., 2018).
Due to involvement of technology in medical service, small fault can lead to error in
medical billing. In addition, there is another possibility that medical staff may enter wrong code
which will direct impact medical billing on the patient. In some cases it has been found that
many mistakes happened by mistake such as one limb was diagnosed by bill was made for both
limbs while in some cases it can be seen that expensive diagnose bill was entered instead of
prescribed code (Liberman & Newman-Toker, 2018). In such situation, there are chances that
insurance company will reject clam of patient and can put patient in to strong trouble by
disturbing their economic stability. It has been found that in country like United States of
America, people spend great amount of their saving on medical insurance and in some cases they
even compromise with their basic requirements. In some cases, medical company intentionally
charge more in their medical service by structuring policy in such a way that patient will not be
able to understand the fraud in their medical services.
Qualification of medical care and medical aid benefit
In USA, qualification for medical care benefit is that the person must belong to age group
of 65 or above. In addition, medical care benefit also include young people with disabilities and
people which are suffering from end stage disease such a permanent kidney failure which require
dialysis. It also includes the permanent citizen of citizen if they really want this kind of medical
services. Medical care is also linked with two types of insurances, one is hospital insurance and
another is Medicare insurance (Stanhope et al., 2018). Hospital insurance benefits are offered to
those individuals who are around age group of 65 or older. In addition it also includes those
individual which are paying their Medicare taxes from almost 10 years. This kind of benefits is
also offered to people working in government offices. But when it comes to Medicare insurance
every individual has to pay to their service they may be 65 years old or suffers from some kind
of medical issues in any case they have to pay premiums related to the services in the form of
dedication from services associated with government. If person is not associated with
government service then a medical bill will be send to the person for availing these medical
benefits.