Preview

Patient Balances: A Case Study

Satisfactory Essays
Open Document
Open Document
226 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Patient Balances: A Case Study
o manage A/R (keep the amounts due you to a minimum) requires an effective billing process. This process includes more than sending out a bill, and it starts when a patient calls to schedule an appointment. Processes will vary among medical practices.
Gather all patient information at the time the patient calls in for an appointment.
Obtain insurance information and verify it when the patient visits;
Establish and communicate the expectations that patient balances are due at time of service
Collect all copayments and deductibles when the patient checks in.
Work with the patient who owes past due amounts by setting up payment plans and explaining what their insurance covers and what it does not.
Accept credit and debit cards as a method of payment.
…show more content…
Collecting payment
Initially, the patient payment process was not effective. approach in which the patient now pays the copayment at check-in. Then, to avoid any embarrassment. when the patient checks out (which is not in the waiting room full of people), staff addresses any outstanding balances and obtains payment for them at that

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
  • Powerful Essays

    At a children’s clinic there are pediatrics that are dedicated to the health, safety, and well-being of all infants, children and adolescents. Co-pays are a fee that is due usually before the time and date of service being provided. Most practices require co-pay prior to service but some allow it to be billed or payed by the next visit. The co-pay amount varies depending on the type of insurance a patient has. Deductibles are the amount of expenses that must be paid out of pocket by the patient before an insurer will pay any expenses. Past due balances occur when payment in full has not been received for charges assessed in accordance with the payment due date. The clinic asks that all co-pays, deductibles and past due balances be paid at the time of service as per your insurance contract. All other balances are due within 30 days of the time of service. As a courtesy, the clinic bills most insurance’s, but charges and fees are the responsibility of the custodial parent. For balances with no payment in 30 days, a late fee of $5.00 will be added to your account. If there is still an outstanding balance due, at 60 days you will receive a past due letter in addition to a second late fee of $5.00 added to your account. The clinic routinely begins collection proceedings on those accounts that have not been paid after 90 days and when this occurs an additional $10.00 pre-collection fee is charged to your account. If you are unable to meet your obligations to the clinic in the expected time frame, please see the billing office as soon as possible to make arrangements for a monthly payment account. This program will allow you to pay larger account balances off over an additional three month period. Unpaid balances allow you to set up a payment plan with the facility to fit your budget. There are income based and also monthly payment plans available for patients who cannot afford to…

    • 1362 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    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. There are a total of ten steps you should follow; which include:…

    • 958 Words
    • 4 Pages
    Better Essays
  • Best Essays

    Sutter Case Analysis

    • 2710 Words
    • 11 Pages

    An increasing issue within the health care field is the inability to collect debt from the growing population of uninsured or underinsured patients. Healthcare organizations may be struggling to meet operational margins because the industry has never treated its customers like other retail-oriented sectors of the economy. A McKinsy and Company report states that hospitals incur sixty billion dollars in bad debt annually because they typically collect only ten to twenty percent of a total uninsured patient balance after service. (MacKenzie, 2009) This is due to a number of reasons, including poor accounting practices or a lack of patient information. This paper will discuss how one hospital, California’s Sutter Health, has taken steps to correct this issue. It will analyze the accounting practices put into place by Sutter Health and the success of this practice. This author will also provide an alternate solution to the issue of debt collection for self-pay patients as well as an opinion concerning the actions taken by Sutter Health.…

    • 2710 Words
    • 11 Pages
    Best Essays
  • Satisfactory Essays

    Medical Office Management

    • 496 Words
    • 2 Pages

    Billing, Claims and Accounts Receivable: Perform eligibility searches on all scheduled patients. Ensure that all dictation is complete and all encounters are charged and all payments, denials and adjustments are posted within pre-determined amount of time. Transmit electronic claims daily. Liaison with billing service if billing is outsourced. Credential care providers with all payers. Perform internal compliance audits. Run monthly reports for physician production, aged accounts receivable, net collection percentage and cost and collections per RVU.…

    • 496 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The medical billing process and all of the functions that pertain to it are the responsibilities of the medical insurance specialist. It addresses all tasks that will be performed by the administrative staff members during the medical billing process. These functions are typically handled by front office staff members such as the receptionist (registration) and scheduling.…

    • 672 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Hcr 220 Week 3 Assignment

    • 899 Words
    • 4 Pages

    Efficiency during the patient intake process is essential to properly gathering and reviewing patient health care and insurance information. The patient intake process is the very first step in reference to billing purposes and the patient visit. Establishing financial responsibility is a key step to successful billing processes. Having a computer system can make the patient intake process more efficient.…

    • 899 Words
    • 4 Pages
    Good Essays
  • Good Essays

    When you are at home and fill out the patient intake forms at your own pace. It can make the intake procedure quicker and go a whole lot smoother. When the office has little, if any, questions, it can expedite the paperwork procedure.…

    • 1864 Words
    • 8 Pages
    Good Essays
  • Good Essays

    3. If the patient informs you that they would like to pay at a different time, you need to contact the account manager and set up a payment plan.…

    • 390 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    issues, then work to create services within the community that could benefit this patient and others.…

    • 252 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Eligibility: Benefits

    • 307 Words
    • 2 Pages

    If someone is not eligible for the benefits trying to be used, the patient will then be responsible for the total themselves. Most offices require a signature stating that if your insurance does not cover the procedure or visit, the patient is then responsible for all charges. The place of business must let the patient know, first, that their insurance denied a claim and that they now have a balance due.…

    • 307 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The familiar phrase of overworked and under appreciated has rang through the nursing field. As health care reform and insurances make critical changes, nurses are forced to keep up. Nursing managers are in a bind to meet the new budget cuts and criteria set forth by these changes, which includes higher patient to nurse ratios. Low staffing can lead to nurse burnout, job dissatisfaction and poor staff retention (International Journal of Nursing Practice, 2014). This article will outline some issues at hand with unsafe staffing ratios and the legislative actions regarding this matter.…

    • 1153 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    When a patient’s insurance does not cover the services that they are trying to receive, the patient is told they will be held responsible for the entire charge. The patient must sign a financial agreement plan before the provider will move on with the visit. Once the patient does sign this agreement, the patient will be seen and will be charged for any services from that visit.…

    • 512 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The basic elements of an effective medical office financial policy are that it should be clear and concise and leave no room for misunderstanding. These policies should be posted in the patient waiting room, given to patient in a paper form and explained to patient so that they know what is expected of them. An effective medical financial policy will include every possible financial scenario and address effective ways to handle them that will not burden the medical office staff members nor embarrass the patient. The policies should coincide with state and federal updates. Co-payments,…

    • 358 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Many of our patients have been in car accidents or slip and falls, they are being referred to our surgeons, neurologists, primary physicians, and orthopedists from attorneys. If the pain is tolerable we do not recommend surgery, however when patients are in excruciating pain we have them see our neurologist to have various neurological tests performed. When we have a new patient referred to our office, we gather all of their demographics and insurance information, if they do not have insurance many times there is a liable party information involved.. First we call the attorney to get more information on the case, next we fax the attorney letters of protection. Some of our cases are funded so we fax the funding company the information…

    • 542 Words
    • 3 Pages
    Satisfactory Essays