Steps in Medical Billing Process

Steps in the Medical Billing Process

                                                                  HCR/220

                                                                Kim Shablack

    October 23, 2011

                                                                Regina Kraus

There are several steps to the medical billing process   step one to ten are as follows:
Preregister patients, Establish financial responsibility for visits, Check in the patients, Check out
the patients, Review coding compliance, Check billing compliance, Prepare and transmit claims,
Monitor payer adjudication, Generate patient statements and finally Follow up patients payments
and handle collections.

Preregister patients is when you schedule and update appointments and collect insurance
information for the patients. When you are scheduling appointments for new patient you need
to get basic information and insurance information and reason for appointment.

Establishing Financial Responsibility is an important step where you must determine
what services are covered under the patients insurance   and what service they are responsible for
this also help if a preauthorization is need and ensures that are information is done and billed
correctly.

Check in Patients This is when you collect all necessary information from the patient such
as copies for insurance cards. This is also, where you can collect copays and make sure the
patient’s information is correct and updated if need be.

Check out Patients This is where you record the proper medical codes for the visit. This is
also where you provide information if the patient has made a payment or how much they owe
and to make sure it is coded properly so the patient will be charged correctly. If payment or
copays have been made then a receipt is given.

Review Coding Compliance This is where guidelines must be follow when coding the
visit. This must be checked for errors... [continues]

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