Medical Billing Processes

The medical billing process can be a very complex and overwhelming task, even for those involved with it daily. The effectiveness can influence the finances of the company significantly, and if done right, everyone involved benefits greatly from it, but one little mistake and every aspect is in jeopardy. An individual must follow the ten steps of the billing process for effective, prompt, and accurate payments for services that are rendered. When following the steps, there is no individual step more important than the other, as they are all equally important, and must be followed in order.
The first step in the process is to pre-register patients. There are two parts of this process. The first one is to collect demographic information, and the second is to schedule an appointment for the patient. When the patient calls in to set up the appointment, the receptionist begins the billing process by gathering as much demographic information as needed. If the person is a returning patient, the receptionist must verify all information to make sure it is up-to-date. When calling for an appointment, the patient must provide all required information to schedule the appointment for their individual needs.
The second step in the billing process is to establish financial responsibility. You will determine if the patient’s insurance is current, and if he or she is eligible for services to be covered. During this time, you will determine if the procedure will be covered by the individual’s health insurance. You will also find out if there will be a co pay, and how much it will be. In addition, if the patient has more than one insurance plan, you have to determine which one is the primary and which one is the secondary payer. You also discuss, with the patient that they are responsible for paying any charges not covered.
Third, is to check-in patients. Make sure you have all of their information correct, and at this time, you make photocopies of their health insurance cards,...