Uderstanding The Patient Intake Process Essay

841 words - 4 pages

Steps in the Medical Billing Process

Deborah Carmichael

HCR/220

July 11, 2010
Allen Chighizola, MBA, S.S.P.

Steps in the Medical Billing Process

There are several steps in the medically billing process. These steps should be followed to ensure appropriate, timely payment for patient’s medical services. Further, these 10 steps help provide more billing accuracy for medical service providers.
The first step is to pre-register the patient. This procedure involves collecting current information, such as, address, phone number, and updated insurance information. After this is done appointments are scheduled.
In the next step it is the medical insurance specialist ...view middle of the document...

Insurance cards, and photo Id’s should be copied and put in the patient’s file. Also, co-payments should be collected at the time of service.
In addition, there are forms that should be filled out by the patient. These forms are a part of the process of recording clinical and administrative facts about the patient.
The fourth step is checking out the patient. The first task in this step is to record medical codes for the visit. When health care professionals examine or treat patients, they document the patient’s diagnoses and procedures in medical records. To bill for the visit, the medical procedure, or treatment, must be assigned a code. A physician, or a medical coder can assign these codes, or a medical insurance may handle this task. The medical insurance specialist verifies these codes with the data in the patient’s medical record. Each procedure the physician performs is assigned a procedure code.
Step five is reviewing coding compliance. This means satisfying official requirements. Coding compliance further entails following official guidelines when codes are assigned. When codes are selected they must be checked for errors. Medical services that are document must be logically connected, so that the payer understands the necessity of the charges.
Step six is checking billing compliance. Each charge or fee is related to a specific billing code. Provider’s fees are listed on the medical practice’s fee schedule. Most medical practices are standard. There is a separate fee associated with each code, however each code is not necessarily billable. Billing for the code depends on the...

Other Essays Like Uderstanding the Patient Intake Process

Case Study Grid

912 words - 4 pages intact with weight loss R/T to increased caloric requirements and difficulty and absorbing sufficient calories secondary to cancer. Desired Outcome 1 Desired Outcome 2 Nursing Intervention 1 Explain the need for increased consumption of carbohydrates, fats, proteins, vitamins, mineral and fluids. Dietitian consultation, monitor food intake. The patient will progressively gain weight toward desired goal with in three to five days

Geri Case Study

1614 words - 7 pages to lack of information about the disease process and self-care as evidence by patient lack of complaiance with medications. * Describe the nature of the disease and the purpose of the procedure and the treatment of hypertension * Explain the importance of a peaceful environment and theraupetic, and management of stressors. 3. Two non pharmacologic ways of managing hypertension include limiting your alcohol intake and the

Maintaining Fluid Balance in Dialysis Patients

2339 words - 10 pages make fluid balance a priority in his care and health promotion. Maintaining fluid balance is an important educational piece for this client. Patient education is important to individuals with ESRD to enable them to participate in their own care and understand their disease process, including the co-morbidities that increase hospitalizations and death (Curtin, Mapes, Schatell, & Burrows, 2005).The risk factors associated with this patient

Cardiology

580 words - 3 pages 1. Guidelines for care of a person with with cardiovascular disease is Encourage your patient to rest Make sure your patient follows the doctor's orders. Make sure that your patient takes the required medication every day. Help your patient avoid future heart problems by helping them avoid these high risk factors smoking, high blood pressure, high blood cholesterol level, physical inactivity and alcohol. Take care of yourself. Limit the

Nutritional Care Plan

1136 words - 5 pages WRITING A NUTRITIONAL CARE PLAN I. Introduction The nutrition care plan translates nutrition assessment data into a strategy that will address the nutritional and nutrition education needs of a client. Thorough nutritional assessment is vital in order to come up with an appropriate and sound nutritional care plan. It utilizes, summarizes, and correlates all gathered information about the patient including dietary, anthropometric, clinical

Genitourinary System

5062 words - 21 pages sodium to reduce edema. * Protein intake should be about 0.8 g/kg/day, with emphasis on high biologic proteins (dairy products, eggs, meats), and the diet should be low in saturated fats (Deschenes & Doucet, 2000). NURSING In the early stages of the disease, the nursing management is similar to that of the patient with acute glomerulonephritis, but as the disease worsens, management is similar to that of the patient with chronic renal

Cushing Syndrome and Nursing Practice

1032 words - 5 pages would need to be designed to reduce these problems that the patient would face. (Lewis et al., 2011, p. 1278). The first problem of infection requires interventions such as protect the patient from being exposed to infections, monitoring patient’s vitals for signs of fever and infection. Providing proper nutrition and fluid intake, as well as administering medications as ordered. To prevent skin breakdown start by keeping the skin clean and dry

Schoolage Nutrition

1097 words - 5 pages Food Intake-3 days summary Food Intake-3 days summary The food choices that we make daily contribute to how we feel today and in the future. Maintaining healthy eating habits are a very important part of maintaining a healthy lifestyle. Good nutrition combined with being physically active can help you to reach and maintain a healthy weight, reduce your risk of chronic diseases such as like heart disease and cancer, and promote your overall

Patient Satisfaction

1237 words - 5 pages satisfaction is very important in hospital settings. The patients are the heartbeat to the large body of doctors, nurses, aids, and dietary. Being able to effectively make the patients stay or visit more satisfactory is important in a hospital. The hospital process is strict on patient satisfaction being admitted, dietary, and being discharge has a major effect on patient satisfaction.]   No One Likes To Be Admitted  [When you or

Accreditation Audit

1729 words - 7 pages consideration. Upon observation during the PPR there were unlabeled basins and pre-labeled syringes, Record of care-this standard refers to the intake and release information once a patient enters the hospital. There was a deficiency noted in verbal order not being authenticated within 48 hours, this appears to be provision of care and medical staffing. In order to be the hospital of choice, Nightingale will need to implement an action plan to

Skill Validation

4645 words - 19 pages additional morphine per healthcare provider’s orders • Request alternative medication from healthcare provider • Be a patient advocate • Try nonpharmacological methods of pain management Why does ceftriaxone need to be reconstituted? • Unstable in liquid form State 2 2000 Hours: Why might this patient have become hypoglycemic? • Insufficient nutritional intake What are the signs and symptoms of hypoglycemia and hyperglycemia? • Hypoglycemia

Related Papers

Understanding The Patient Intake Process Essay

792 words - 4 pages Understanding the Patient Intake Process Ashshanti Bryant HCR/220 April 25, 2010 Fonzette Mixon Understanding the Patient Intake Process The patient intake process is designed to retrieve patient information , new or established during the check in process at a clinic, hospital, or doctors office. It is important to maintain a efficient intake process and a strong patient flow. An important part of health care quality is patient

Patient Intake Process Essay

599 words - 3 pages Understanding the Patient Intake Process Danielle Massie 11-3-2013 HCR 220 Pamela Kerby Patient Intake Process The process of patient intake can be time consuming and demanding if the flow of the office is not well-organized.   Furthermore, the intake process involves collecting personal information from the patient before the time of the visit. The information

Understanding The Billing Process Essay

1174 words - 5 pages Assignment: Understanding the Patient Intake Process Name Axia College of University of Phoenix HCR 220 Date Tekne, a Greek word which means an art or craft is where the word technology is derived from. Technology is the study or science of crafting, which are logia. The way in which healthcare is delivered is changing due to clinical information technologies. In an effort to support advancement and innovation of

Mr. Verdudoo Essay

964 words - 4 pages ???) p. 292 know the nursing interventions for the nursing diagnosis Deficient fluid… and Ineffective tissue perfusion… “Multiple Myeloma” Nursing Interventions and Patient Teaching & Nursing Diagnosis Risk for injury… & Pain… Should this patient’s fluid intake be increased or limited Will this patient be in pain; appropriate nursing interventions Is this patient at risk of pathologic fractures; appropriate nursing