Capstone Checkpoint Relating HIPAA To Billing
There are ten steps in the medical billing process This is pre-registering patients, establishing financial responsibility for the visit, checking in patients, checking out patients, reviewing coding compliance, checking billing compliance, prepare and transmit claim, monitoring payer adjucation, generating patient statements and doing follow up payments and collection. step 1 involves pre-registering the new patient. This includes giving the patient a document of the HIPAA privacy rules that ensure the patients right to privacy and obtaining basic information like patient name, address, phone number, type of insurance and insurance information along with patients date of birth. Steps 2,3, and 4 have to do with making sure of financial responsibility, and the patient being checked in and out this is all done also using HIPPA privacy rules to protect patient privacy. During these steps ICD and CPT codes are identified and added to the bill and this is all done so that diagnoses and treatments along with equipment and needed procedures can be documented properly. Steps 5,6 and 7 are reviewing coding compliance, checking billing compliance, and preparing and transmitting claim these have to do with HIPPA privacy rules, cpt's to make sure that everything documented has it's own code and HCPCS to ensure that the cpt's are coded correctly so that everything billed and documented is correct. Steps 8,9, and 10 are the last and are monitoring payer adjucation, generating patient statements and doing follow up payments and collection. These last steps as all the other ones follow the HIPPA privacy rules to ensure the patients right to privacy and HCPCS to ensure that everything has been followed and documented correctly so that the facility may acquire payment of all procedures and diagnoses performed and given to the patient. Some people may argue that one or two steps of the medical billing...
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