Steps in the medical billing proces Part A

Steps in the medical billing proces Part A - Steps in the...

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Unformatted text preview: Steps in the Medical Billing Process Part A Resource: Ch. 1 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.) Complete the following table by identifying the 10 steps in the medical billing process. Write two to three sentences describing each step. Be as specific as possible. For example, Step 1 may be "Preregister Patients." Mrs. When patient walks in to the door or makes a phone call. during this process you will schedule an appointment or update appointments and collect patient's information for example health and insurance Information. First, we find answers to a serious or questions to Step 2: Financial get this Infon'natlon for example as what services responsibility are covered, and what Is not covered, and what ls patient's responsibility financially. We have the patient fill out a necessary form to have accurate insurance information as well as any Step 3: Check in our patient new conditions the patient may have at this time. we will also malts copies of license and insurance cards. Medical coders or medical insurance specialists are Step 4: Code compliances in charge of this task. This step also includes putting diagnosis codes. It also includes placing procedure codes in for fees Step 5'. Reviewing the billing related to the visit, during this step medical compliance insurance specialist or coder will apply everything Step 1: Pre-reglstratlorl process they know to decide what can be billed for claims. When patient ls through with his or her appointment and Is ready to check out. While patient was with a Step Er: Patient check out doctor medical coder knows what must be billed and collected. They will also charge a copay and deductible at the same time. you will prepare and gather all information need to Step T: Prepare and transmit do the claim and submit it to the insurance claim companies. Ciaims can be for either looking for reimbursement or reporting an encounter. A step where claims is sent in to the health plans and it Is time to collect money. Payers are processing the claim on their side to decide what they will pay rather It be in full or partial or to deny a claim. If. H where you find out the payment applied to the Step 9: Patients statements account and ifthe patient will have to make or owe anything or will require to make an out-of-pocltet payment. _ This means the provider or facility that is owed Stemefldggf‘: EJ:;:;:n money from a patient will start collection process pay on the patient if they have any outstanding bills. Step 3: h‘lonitor payer adjunction ...
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