Preview

Effective Financial Policies and Procedures

Satisfactory Essays
Open Document
Open Document
412 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Effective Financial Policies and Procedures
Effective Financial Policies and Procedures
HCR/230 Week 7 Checkpoint
Theresa Bowman

In order to maintain the proper billing of patients and the process of collecting funds owed, medical facilities must create and use an established financial policy. Some of the elements required to ensure that the financial policy established will prove effective are; a financial policy that patients understand and one that staff members are able to interpret as well. The financial policy must openly state or clarify the financial policy regarding the obligation of the patient and also be specified in a way that staff members are able to understand these responsibilities as well. Financial policies should also include any possible circumstances that may transpire such as making payment arrangements, payment for procedures not covered by the patient’s health insurance plan, and other distinct circumstances or other types of exceptional arrangements. Certain medical office procedures can help support established financial policies. Many medical facilities mail the patient a replica of the facility’s financial policy, while other offices may provide a version of the policy in a common area of the office such as a patient waiting area for all visitors to view and read. Some medical offices require new and established patients to sign a copy of the financial policy recognizing that they have read and comprehend the financial policies of that specific office or facility. Some of the penalties of office procedures that do not support the established financial policy can include deceitful activity or the medical facility losing money. Medical office employees must make each patient attentive of any expenses or payments that the patient must make before a procedure or service is performed and make sure that the patient clearly realizes these charges. If the office fails to completely clarify these costs to the patient, there could be situations in which the patient may not be

You May Also Find These Documents Helpful

  • Good Essays

    A: Some patients may be experiencing a financial difficulty and cannot pay a balance in its entirety. By offering other payment options like setting up a payment plan where the patient agrees to pay a portion of their balance by a certain date each month or week, allows them to pay their bill but not add further financial strain or stress on the patient. The patient is still meeting their obligation, the office still gets paid and it allows for a good relationship to continue between the patient and…

    • 602 Words
    • 2 Pages
    Good Essays
  • Good Essays

    There are ten steps included in the billing process and are used to help process the patient’s information from preregistration to the follow up payments. Each patient has the responsibility to pay for their services once they have received care from a facility by themselves or an insurance company. Many different health insurance companies that may help an individual cover their medical expenses or even pay the entire bill. This billing process is usually done in the back office whereas the registration and collection of information is done in the front office.…

    • 749 Words
    • 3 Pages
    Good Essays
  • Good Essays

    design a finanial policy

    • 568 Words
    • 3 Pages

    The medical office needs to ensure that each patient is aware of their billing policies and…

    • 568 Words
    • 3 Pages
    Good Essays
  • Better Essays

    2. Establish Financial Responsibility – When a patient has insurance; the health plan coverage should be reviewed and eligibility needs to be verified (Valerius, Bayes, Newby, & Seggern, 2008). It should also be determined whether or not there is more than one insurance company. If that is the case, the first payer should be determined. Check to verify that all conditions for payment have been met and the correct steps followed to assure payment for service (Valerius et al.).…

    • 958 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    All steps of the billing process apply to documentations standards and should follow a compliance plan. To insure all patient and facility records follow the set documentation standards employees should be educated in the correct areas of completion of medical and facility records to decrease the case of documentation errors. Employees must follow all documentation standards to ensure correct information is input into patient records which aids in the process of accuracy, etiquette, and customer service. Ensuring all standards and plans are followed allows for lower chances of record error and or medical lawsuits. All steps of the billing process, compliance plans, and documentation standards must be followed in medical…

    • 271 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    There are ten basic steps in the medical billing process. Each step has certain things which must be done to correctly complete the entire process. In order to complete your duties as a medical biller efficiently, you must follow the medical billing process. Following this process leads to maximum and appropriate payments in a timely fashion. These steps range from the pre registration of the patient to the collection of the payment. In this paper each step will be describe with a brief outline of what each step entails.…

    • 748 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Understanding health care financial terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course.…

    • 584 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Understanding health care financial terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course.…

    • 811 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Accurate documentation in clinical practice is a significant component of the delivery of quality patient care. Evaluation and management (E&M) codes comprise to assist providers adequately . In order to receive reimbursement from health insurance companies, APNs must accurately use E&M codes to bill for services they provide during patient encounters. Hence, the significance for APNs to be knowledgeable in the use of E&M codes to bill for patient care services provided and stay abreast on current and future guidelines. For new APNs, understanding the history, purpose, and components of E&M coding is fundamental in avoiding legal and ethical dilemmas that may arise throughout their practice. The following discussion will address the issues…

    • 1227 Words
    • 5 Pages
    Good Essays
  • Better Essays

    the profits. I find there are a number of reasons for the new increase in patient’s debts, the most…

    • 2541 Words
    • 11 Pages
    Better Essays
  • Good Essays

    The health care industry is a multi-million dollar industry. Health insurance, providers, technology management, and inpatient and outpatient procedures are among the many terms that we hear nowadays within this industry. The principal phrase that seems to be ringing in the ears of the government and policymakers are debt and cost-control. There are fundamental concepts that should be understood throughout the health care industry as it relates to finance. On one hand, many individuals have a general knowledge concerning health care organizations from the standpoint of insurance, copays, and deductibles. These constructs are more familiar to a person that has any health care needs due to the routine of having to provide some form of payment…

    • 726 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Financial management in health care is a major role for an organization. The success of an organization depends on the financial reporting practices and the ethical standards incorporated by the institution. Understanding the four elements of financial planning, generally accepted accounting practices (GAAP), and how to practice financial ethical standards to ensure accurate and fair reporting is the responsibility of the health care organization. Holding employees and management to a standard of working within these acceptable guidelines to avoid fraudulent…

    • 1427 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    This research paper will explain the payment expectations of government, commercial, and liability insurances, as well as self-pay/cash pay patients. An in depth explanation of how they differ, such as rules, will be made. This report will help readers understand the different types of programs in bill collecting, and account and project financial expectations.…

    • 1082 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Lecture 1- Introduction and Context 1Dr. Tarik Driouchi - tarik.driouchi@kcl.ac.uk Senior Lecturer- Financial & Mgt. studies Office Hours [WBW4.15]: Thursdays 4-6pm…

    • 1388 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    An effective medical office financial policy is one that both staff members and practice patients can easily follow and understand. Patients need to understand their obligations and staff members need to know what is expected of the patients. All possible situations should be addressed by a good financial policy. This includes financial arrangements and payment plans, payments for services not covered by the insurance company, and a variety of other circumstances. The basic elements of an effective policy should inform patients how particular situations will be handled. Collection of a patient’s copayment, deductibles and any past-due balances should be addressed; as should payment for services that are not covered by a patient’s insurance company. An effective policy should address how a practice handles prepayment for services they will provide and also any possibility for payment arrangements of unpaid balances on a patient’s account. If a practice offers charity care or discounts to patients with low incomes/financial need it should be stated in the financial policy. Finally, a practice’s financial policy should state their accepted forms of payment such as cash, checks, money orders, and credit or debit cards.…

    • 318 Words
    • 2 Pages
    Satisfactory Essays

Related Topics