Medical Billing and Coding Process Essay Example for Free

Medical Billing and Coding Process EssayStep OnePreregister affected roles-Patients who call in order to schedule an appointment stupefy to provide basic information. General information usually includes the persons first, middle, and last names along with their address, the reason for the encounter, their basic indemnification information, and the most handy date and while of the appointment. During the encounterStep TwoEstablish financial responsibility-The person behind the window will inform the patient on whether or not they argon eligible for that particular proposition health plan, check the factors that are covered under that health plan, determine the first payer if there are more than one health plan that actually covers that patient, and meet the payers conditions for the payment. Step ThreeCheck in patients-Returning patients are required to press in at the front desk of the facility. They usually are asked to review previous information to make sure that it i s accurate and up-to-date. Their financial records are also check out to make sure that previous balances were paid at the time of the previous visits. If a new patient arrives, they are required to fill out a form that includes their personal information and show proof of their identification as well as proof of their insurance. This helps to eliminate fraud or malpractice in the facility. The patients personal information and insurance information will hence be copied and returned to the patient. This information is entered into the facilitys database for future reference. The front and back of the insurance cards and other identification cards are scanned and copied in order to be storied in the database. Copayments are always collected at the time of the service, some are collected before the encounter and some are collected after the encounter. Some facilitiesrequire other forms to be completed by the patients, these forms are included as part of the process of recording admi nistrative and clinical facts about patients. Step Four check out Coding Compliance-In order for thrill options to be carried out to the patient, medical codes must assign the medical procedures and diagnoses. The physician does specific codes for specific treatments and procedures. The treatment that the patient receives from the physician is entered into the database. The treatment and procedures that the patient receives switch to be completed and signed by the physician. At the end of the patients visit, the physician gives the form (with the checked-off treatments and procedures) to the individual at the front desk. That person then in turn gives the form to the billing function of the facility. After this is done, they set up a patients next appointment. Step FiveReview Billing Compliance-After the facility transfers the patients diagnoses and procedures to billing, the file is then checked by billing in order to determine if the specific billing options are correct or not, and to make sure that reimbursements are returned to the patient in a timely fashion. Every fee or charge has its own specific procedure code. Usually, the physicians charges are applied to the medical practices fee schedule.