The medical billing process is the process whereby a health service provider follows up on and submits a claim to an insurance provider for payment for any service rendered towards the patient. The health services rendered may include consultation, testing, procedure, or treatment. Despite the notion that the medical billing process is very complicated, it can be quite simple. Here are some simple steps to follow to ensure a quick and simple medical billing process.
The first step is to ensure that you register the patient. This step is easy for a return patient because their details are on file. However, when a new patient checks in, they should register and include any important information about their insurance. At this stage, it is important to ensure that any information that could be essential during a potential claim is captured.
Confirm Financial Responsibility
It is very important for a health service provider to confirm the financial responsibility. This means that it is essential to identify what services a particular insurance covers, as there are insurances that do not cover certain services rendered by a certain health service provider. Therefore, before rendering any services, ensure that you inform the patient that the insurance provider is not going to cover the procedures they have chosen.
When a patient checks in, he or she is required to confirm identity to the health service providers. If the patient is new, he or she will be given forms to register. If the patient is regular, confirming his or her identity is necessary by providing an ID, passport or driver’s license.
Patient Check-Out and Coding
During checkout, the medical report of the patient is sent to the medical coder. The medical coder will then put down information about the service rendered toward the patient and send this to the medical biller. This information may include the name of the provider, the name of the physician, the name of the patient, procedures, and services provided. Ensure that you use accurate CPT and HCPCS codes.
Entry of Charges
This is where the health service provider enters charges for all the services and procedures rendered to the patient in question.
After the claim has been completed, it is then sent to the insurance payer for payment.
At Advanced Reimbursement Solutions in Wilmington and Phoenix, we facilitate medical reimbursements and have our very own claims program. We are capable of handling all stages of your medical claim. Contact us today to book an appointment and learn more about our process!