![]() Certain insurance plans do not cover certain services or prescription medications. Insurance coverage differs dramatically between companies, individuals, and plans, so the biller must check each patient’s coverage in order to assign the bill correctly. Once the biller has the pertinent info from the patient, that biller can then determine which services are covered under the patient’s insurance plan. ![]() Confirm Financial Responsibilityįinancial responsibility describes who owes what for a particular doctor’s visit. If the patient is new, that person must provide personal and insurance information to the provider to ensure that that they are eligible to receive services from the provider. If the patient has seen the provider before, their information is on file with the provider, and the patient need only explain the reason for their visit. When a patient calls to set up an appointment with a healthcare provider, they effectively preregister for their doctor’s visit. These steps include: Registration, establishment of financial responsibility for the visit, patient check-in and check-out, checking for coding and billing compliance, preparing and transmitting claims, monitoring payer adjudication, generating patient statements or bills, and assigning patient payments and arranging collections.īear in mind that there is a difference between “front-of-house” and “back-of-house” duties when it comes to medical billing. ![]() ![]() Like medical coding, medical billing might seem large and complicated, but it’s actually a process that’s comprised of eight simple steps. ![]()
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