Steps in Medical Billing

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Submitted By TheresaR75
Words 606
Pages 3
Steps in Medical Billing


Theresa Rosado

The processes of medical billing used in healthcare, providers and insurance companies have to submit and follow ups in order to receive payments from the medical services. Ten steps are used to complete the medial billing process. There are three categories which is visit, claim, and post claim.
Visit makes up the first categories that consist of the first four steps. Pre-registering the patient is the first step in the visiting area. The two main tasks of pre-registering are schedule and update appointments and collect pre-registration demographic and insurance information. When patients call for an appointment they provide their personal and insurance information for the scheduler. Also the scheduler will ask if you are a new or returning patient.
The first step is to pre-register the patients and get all of their contact information and insurance information.
The second step is try to establish financial responsibilities for all visits and verify insurance eligibility and figure out how much that needs to be collected up front from the patients. A patient that is insured, questions must be answered. For an example: what is the patient responsible for paying? And what are the billing rules of the plan? When the question is answered it would help the medical insurance specialist. In order for the financial responsibility, the procedures need to be followed: check the health plan’s coverage, verify patients’ eligibility for their health plan and more The third step is to check in patients and have them sign in then collect whatever necessary money from them, copy or scan their current insurance card. Check in patients is step three. At the arrival of the patient, the clerk need detailed and complete demographic and medical information. Returning patients would look over their files to make sure…...

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