The First Step in the curative Billing Process

Health Insurance Card - The First Step in the curative Billing Process

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There are ten steps in the medical Billing Process. The first step in the process is to Pre-register the New Patient. There is much critical facts that must be obtained at this juncture:

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Health Insurance Card

(Demographics) sick person name, address, phone number, date of birth, the nature of the medical problem, the insured's name address, phone number, date of birth, relation of insured to the patient, the type of assurance does the sick person has, insured's Id number, are referrals needed, is Prior Authorization needed, referral or authorization phone numbers if in case,granted on the card, copay amount, co-insurance. It also helps to know if the nature of the medical question is due to an auto accident, slip and fall urgency or work associated accident. This facts will dictate if commercial assurance is former or if other assurance is primary.

The facts obtained at the "pre-register" step is crucial to the billing process and receipt of payment. The more facts you ask for at this step in the process, the easier the remaining nine steps will be! I must emphasize that this facts is critical to the whole billing process/revenue cycle. This facts will help you to adjudicate claims as swiftly as possible. In addition to obtaining this information, your staff must double check that the facts is literal, and complete. Incorrect spelling of first or last name or incomplete assurance Id estimate sounds like trivial mistakes, but in my eighteen years of billing, collections and management in Dme (Durable medical Equipment), Skilled Nursing, Home Care, Orthopedics, reasoning condition and Radiology, I have encountered denied claims due to inaccuracy of these very items! In some of my cleanup of aged accounts, I have encountered many claims denied for No Referral or No Authorization totaling tens of thousands of dollars.

The protocols that you set up at the front end to collect the pre-registration facts will help minimize your denials and growth your cash flow. Remember, the "cleaner" a claim is going out the door; the more likely it will be paid on the first submission! Some practical tools to use to collect this information: have a "new patient" checklist so that this crucial facts is obtained, have an "existing patient" check list to make sure you capture any changes in sick person or assurance information, have a Participating provider/insurance grid, remind the sick person to have their assurance Id card with them at time of visit. Http://revenuecycles.com/

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