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Hcr/220 Week 9 Final Paper

Decent Essays

An interview should be conducted with the patient prior to giving a patient an initial appointment, this allows the office staff to collect preliminary data to ensure that the patient has called the appropriate office for an appointment and to verify the patient's eligibility. Insurance of the patient and the status of benefits. In this call the following information should be collected;

Patient's name, address, telephone number, and date of birth. (In the case of a minor child, you will also need the name of the parent or guardian requesting the appointment).
Reason why the patient requests an appointment
Is the patient enrolled in an insurance program?
Call the insurance company to verify insurance eligibility and benefit status.
Proceed to schedule the appointment. …show more content…

The patient is informed about their coverage and the amount of copayment they would have to pay.

Patient Exam-Documentation

Establish a new patient chart and enter patient demographics into the patient's practice database. The patient meeting form is created. The meeting form (also known as the routing form, the routing form or superbill) is the financial record source document used by health care providers and other staff to record the patient's treated diagnoses and services rendered to the patient during the current meeting. The minimum information entered on the form at this time is the date, the patient's name and the balance due on the account.

Coding and Charge Entry

Charge entry is one of the key areas in medical billing. In the medical billing charge entry process, created patient accounts are assigned with the appropriate $ value as per the coding and appropriate fee schedule. The charges entered will determine the reimbursements for physician's service. In this area, the electronic form 1500 is completed with its codes of services and procedures.

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