Gaining insight on the physician reimbursement remains critically vital to the health of every practice of a health professional. Compensation includes other essential factors apart from payment and begins when a patient visits a doctor’s office for the first time. Therefore, a physician must understand the basics including the accurate costing and Medicare. Although most private hospitals differ in their reimbursement legislation and costs, most of them remain associated with the Medicare system. Physician reimbursement describes the funds that an insurance firm makes to a physician for offering treatment to the policyholders of particular insurance organization. However, a patient without insurance pays his/her reimbursement directly from the pocket (Beck, D. & Margolin, 2007).Thesis Statement: It remains the responsibility of health experts to submit accurate claims and protect the integrity of the Medicare Programs.In America, health professionals’ bill to the firms via diagnosis and procedure codes where every code gets connected to the money charged. The codes also demonstrate to the insurance firms the purpose of the patient visiting the hospital and the mode of care provided by the doctor. However, the coding system continues to get more complex due to the increasing health situations and modern medical care for the issues (Southern California Health Institute, 2016). Coding records the patient’s medications, treatments, diagnosis, processes and equipment and interprets them into alphanumeric or numeric codes. The codes get transferred to the medical billing framework. It remains critical because it impacts the Medicare specifically the reimbursements concerned with insurance (Medicare Learning Network, 2013). According to Medicare Learning Network (2013), proper diagnosis and process coding enable the insurer to possess all the codes necessary for significant payment.  It also develops a credible record for the care history if a patient and assists in comparing and planning projects for inadequately served areas and determining signs that should get addressed and referenced by the health experts (Healthcare and Business & Technology). Diagnosis coding includes the ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification Clinical Modification) while procedural coding utilizes HCPCS (Healthcare Common Procedure Coding System) level one and two (Healthcare and Business & Technology, n.d). Evaluation and management codes remain the primary technique to classify, bill and report office care that the patients gain from a physician. A physician must continually evaluate the basics of the E/M coding and apply for the guidelines immediately. The physician must also adhere to all the CTP coding principles. The E/M codes 99381 to 99429 represent the services of preventive medicines which a physician must report. Preventive visits get expressed in the codes 99381-99397, and the requirements entail gender and age history, counseling and risk minimization interventions. 99401-99409 codes state the interventions for behavioral change and counseling for risk factor minimization (Medicare Learning Network, 2013).  Appropriate coding will assist the health expert to avoid errors to prevent losing revenues. The MLN Medicare Learning Network provides a downloadable guideline for the E/M codes while the HCPCS code book offers the CPT codes which the physician must review and follow. The health professional must ensure appropriate charting and documentation to avoid shortages in reimbursement. Additionally, the chart must indicate all the actual services carried out to make them valid. He/she must ensure that the maps get completed without delay after treatment to provide fresh details. The documentation must appear eligible as they could impact the codes for diagnosis (Medicare Learning Network, 2013).More so, the abbreviations must remain similar so that the documentation can support the codes for diagnosis. In case of any alterations, the date must get indicated; a line should be drawn on the corrected area of the chart in case of any mistake and maintain the initial entry. The time of correction should get indicated and the reason shown above in addition to the individual making the alterations. The CMS-1500 form remains vital for different private and government insurers, and it bills the Medicare Fee-For-Service Contractors. The FFS claims should get submitted to the given Medicare FFS Contractor via referencing the Provider Compliance Group Interactive Map on the website for CMS on time (Medicare Learning Network, 2013). More so, the physician must fill the insurance form either electronically or manually. The electronic mode seems faster, less costly and quicker but it remains necessary for the healthcare expert to understand the two methods of submitting and filling the forms. The forms must get filled correctly and avoid errors which may become expensive and time-consuming as they may need to get resubmitted (Medical Filling and Coding Online, n.d).In conclusion, it remains the responsibility of health experts to submit accurate claims and protect the integrity of the Medicare Programs. They must acquire knowledge on the most current medical bill laws and send all the necessary documentation needed to support the medical requirements for the services provided. They must utilize the right procedure and diagnostic coding and code them to the highest number of digits available.  Additionally, the physician must use the tools available to assist in filling the insurance claims and must be aware of the standards, regulations of the insurance firms and the procedures of clearing to remain successful. References Beck, D. & Margolin, D. (2007). Physician Coding and Reimbursement. The Onchsner JournalRetrieved from: and Business & Technology. (N.d). Medical Coding. Healthcare and Business & Technology. Healthcare and Business & Technology. Retrieved from: Medical Filling and Coding Online. (N.d). Course 5: Medical Billing Insurance Claims Process. Medical Filling and Coding Online. Retrieved from: Learning Network. (2013). Medicare Billing: 837P and Form SMS-1500. Retrieved from: California Health Institute. (2016). Medical Coding and Billing Jobs. Southern California Health Institute. Retrieved from: