Well-Written Payment/Collection Policy

Charges – This is the financial obligation made to a patient’s account for services rendered.

The policy states that if a patient has a copay or any other payment that needs to be made then he/she should do so at the time of their visit. This is usually done at the end of the visit encase the doctor orders any tests or lab work that might cost the patient more money. Patient’s should be informed of all or any charges and given an estimated cost.

Medical Debt Collection starts when medical services are rendered, whether it’s by choice or an emergency. A serious illness or even a relatively brief stay in a hospital is apt to leave you with a pile of medical bills that you cannot afford to pay, even if you have health insurance(Reed and Detweiler,2015). After

A medical office needs to be compliant with employment laws; this will ensure they do not have lawsuits that could patiently put a company out of business. This also helps the offices run smoothly and free from errors. There are several employment laws a few of them are the American with Disabilities Act (ADA), the Employee Retirement Income Security Act (ERISA) and the Health Insurance Portability and Accountability Act (HIPAA). The American with Disabilities (ADA) is when an employer is to provide reasonable accommodation to an employee with a known mental or physical limitation, or a qualified individual with a

The process for medical billing involves a health care provider submitting, and following up on claims with health insurance companies in order to receive payment for services rendered; such as treatments and investigations. Once the procedure and diagnosis codes are determined, the medical biller will transmit the claim to the insurance company. Most physicians have medical directors that review claims for patient eligibility. Physician reimbursement and the coding to support it are critically important to the sustained health of any physicians practice. Under the contract provisions the physicians are responsible for rendering the services to the patients. In the billing process physicians need to know how services are rendered.

As these medical debts accumulate over time, it will not only have a financial impact on the patient itself, but will also have a financial impact on healthcare organizations as well. Healthcare organizations will have to either lose the revenue or hire a medical collection agency to collect the debt. This collection process can be very costly as well as be time

Minimize overdue copays with easy-to-understand statements, broken down by visit. Automatically print letters to patients with outstanding and delinquent balances.

The Privacy Rule – This policy ensures patient have the right to access and change the information in their EHR. It also ensures providers and EHR vendors implement organizational, administrative and physical safeguards to ensure confidentiality and privacy of patient information. In addition, this rule provides a patient the right to access his/her records and request changes at any given time.

After years and years of studying, practicing, and preparing for a future in health care, physicians and other medical care providers mark their place in the industry by providing the best care for their patients. These professionals face challenges every day – from providing life-saving emergency treatment to investigating complex diseases – but there is another critical component of a successful medical practice: medical billing.

Policies Policies are statements which are written to describe how an organisation intends to function in terms of good practice’ (Richards and Ford, 2010). Having policies in place at a GP surgery can promote a positive care environment by protecting patient and staff from danger and harm such as discrimination. There are three main policies which include Confidentiality, Health and Safety and Whistleblowing. The first policy is Confidentiality which ensures that staff at a surgery will not disclose any of patients’ personal information without permission from the patient.

After a patient is treated by a doctor, medical billers calculate the bill for services, including any procedures performed by a doctor and any diagnosis during the visit. They prepare invoices for patients and insurance companies. Medical billers receive fee information from federally-based health programs and health insurers to determine the charges for treatments. Most medical billing professionals use medical software programs to calculate charges and print bills.

As indicated by H. Ladd, “The responsibilities of outpatient caring staff should consider include: Assessment of the patient 's health; goal-setting to determine desired outcomes; supporting self-management to ensure access to resources the patient may need; medication management to oversee needed prescriptions; and care coordination to bring together all members of the health care team.” (Ladd, AMA 2013). To insure the patient will receive the appropriate treatment and will not return to the hospital for repeat care. The insurance companies should have an incentive to increase the communication between the hospital and the outpatient physicians. Therefore the insurance companies will not pay for unnecessary hospital visits.

Health policy reflects the decisions, plans, and actions that are implemented to achieve specific health care goals within a society and community. “An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term” (Boufford, 1990). The purpose of healthcare policy and procedures is to ensure there is a standard of healthcare available. The purpose of healthcare policy and procedures is to communicate to employees the desired outcomes of the organization (Boufford, 1990). Policies are implemented to ensure the employees/ clients understand the standard procedure for the healthcare that is available. The three main points include 1) should states and government make decisions in

All employees will be given an outline of the policy when hired and the policy is available online for all employees to refer to at any time. There are also regular meetings that are taken place where this is always a topic on the

The policies should be posted on the wall close but the licenses of the doctors and facility licenses as well. That way when patient go to look at the licenses on the wall the patients can read the facility policies and if they don’t understand something then we can explain the policies. If policy is unclear to a patient, the patient may become angry, frustrated or confused if the patient is unaware