Hcr 220 Week 9 Prior Health Care Study

The information that should be obtained from the patient at the time of scheduling the appointment is the reason for the visit, name, DOB, phone number, and insurance information.

The staff should be very familiar with payment/collecting policy because you do not want everyone to tell the patients different things. The policy should be posted in the reception

The second process happens when you arrive at the doctor’s office and check in with the receptionists. This process should involve you giving your ID and insurance card to that person. Twice a year you may be required to update this information to their office. The reason is because at the beginning the year patient’s insurance change and to double check later if that coverage is active. This step is crucial because medical coding is done with the type of insurance you have.

Stay organized! Verify your check numbers and amounts. Type in the patient’s name in the payer field so you can find your payment later if you need to.

List the information required for each section. Blank 1: Type of Insurance Blank 1a: Insured's ID number Blank 2: Patient first name and last name Blank 3: Patient’s sex and DOB Blank 4: Name of the person that’s Insured Blank 5: Patient's Address Blank 6: Patients relationship to the insured person Blank 7: Insured's address Blank 8: Patient status Blank 9: Other Insured's Name *completed if there is an additional healthcare plan* Blank 9a: Other Insured's Policy or group number Blank 9b: Other Insured's DOB/ Sex Blank 9c: Insured's Employer or School Name Blank 9d: Insurance Plan or Program Name Blank 10a-c: Is patient's condition “related to" Blank 10d: Reserved for Local Use

By reviewing the documentation, determine the category of service provided (e.g., new office patient, subsequent hospital visit, consultation).

For me be available to send the statements to the patients. I need to create on EZCLAIM the claim where I don't have the complete information. But I think I can enter the services without the DX codes. But would you please advise DR.Deliry me enter all this charges manually will be affect his billing numbers b/c I need to enter the charge fee amount and how much the payer paid. He need to know that this payment is not part of his billing in house. This project will be the last ONE on my list since we need to continue working on all the billing that we start doing in house. I will do my best to complete this project at soon I finish to post all the payers payments and works the rejections that is on each EOB.

Generally it is initiated with you calling the doctor personally and scheduling an appointment.

I just want to share this information with you. When the F.A department complete the patient sliding fee scale documentation the patient needs to sign the contract where show on the form what type of scale the patient qualify and how much will be their copayment according to their scale levels. For example: The patient with the account 13010460 the scale level is scale F and was circle to the patient that he is responsible for the copayment of $80 dollars and for Dental $100 and for the rest of the charge fee amount .The patient was agree and sign the document. Please review the attach document. PMG can use that information to remid the patients that they was agree with the scale when the F.A department complete the process with

•Important: Only active patients with active accounts will be included when you generate invoices. You also need to include the correct medical coding during the manual process so that payment will be processed correctly.

There are several ways to sign up for the Patient Portal. You can request an activation code during your office visit or request an activation code through our website www.wakeprimary.org.

All you have to do is give and say the following instructions to the patient within the paper work. It’s an easy process, you can do it. Now please stop resisting my authority. You’re wasting my time!

Before we file a medical claim, there are multiple steps that a medical office specialist must complete first.

The steps that Lewis should take to verify Sylvia Baker insurance would be to first take down there name, date of birth, name of the primary person, social security, information of the insurance provider such as name and contact. As well as the patient insurance group number and ID. second thing that she would do is ask for a photo ID as well as the patient insurance card to make a copy to keep in there files. third would be to call the patient provider and make sure that there vist is being covered. Forth would be for Lewis to make sure that the patient does or does not have a copay as well as if they are in or out of network. Lastly Lewis should ask the patient if they have a secondary insurance that they would like to put on file and if

Patients are denied under their insurance from mistakes registration or billing miss. Under the encounter information, registration will fill out the encounter type, medical service, admit type, and admit reason. It gives the patient a location, and explains why they are here in the billing office to process the billing