The Steps in the Medical Billing Process

Topics: Money, Credit card, Receipt Pages: 3 (772 words) Published: March 30, 2014


The Steps in the Medical Billing Process
HCR/220
Instructor Kerby

The Steps in the Medical Billing Process
In the medical billing process, there are significant and mandatory steps that healthcare workers need to do. Preregister patients are the first step, and this contains two major duties. The first duty is to schedule appointments because the patients need to have a time and date to see the physician, plus to update appointments. Gather preregistration demographic and a patient’s insurance information. A new patient that calls for an appointment needs to provide information (Valerius, J., Bayes, N., Newby, C., & Blochowiak, A., 2014). With the second step is to establish the financial responsibility for their visit, and use the information which was received from the patient. When a patient has medical coverage, then it is necessary for them to answer some questions regarding their healthcare coverage. The uninsured patients they must be advised of their obligation for the total charge of the visit (Valerius, J., Bayes, N., Newby, C., & Blochowiak, A., 2014). With the third step is to check in the patient and it is different if a patient is new or a returning. The returning patients’ needs to review, validate, and if there are any essential changes needs done to their record, and with new patients’ needs to fill out forms then complete the demographic and medical insurance information (Valerius, J., Bayes, N., Newby, C., & Blochowiak, A., 2014). The financial records are reviewed to see if the payments are up to date, and the payments or copayments are established in this step. The fourth step is when the bill for visit, medical diagnoses, and procedures needs to have an assigned medical code, which the codes can be verified with the data located in the patient’s medical record. Their primary illness is given a diagnosis code that comes from the International Clarification of Diseases, 10th Revision,...
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