Title: Medical Billing And Collection Services
1Medical Billing And Collection Services
www.mgsionline.com
2Medical Billing andCollection Process
- STEP 1 Patient Scheduling
You want to maximize your care team's
productivity and see as many revenue-generating pa
tients as possible
3STEP 2 Patient Registration
- Patient registration is a complex process that
requires a considerable amount of
preliminary patient data input, including
Collection of patient demographic information,
including personal and contact information
4STEP 2 Insurance Eligibility Verification
The process of obtaining the insurance
eligibility verification of a patient is
necessary to insure that the patient has
coverage, services that are being provided are
covered, denials and appeals can be minimized and
payments are expedited at the appropriate rates.
5STEP 4 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.
6STEP 5 Claim submission
After a billing encounter, the provider gathers
all relevant information, intake forms and the
proper services documentation and submits
the claim for payment. This is a time-consuming
and labor intensive process.
7STEP 6 Payment Posting
Posting of insurance payments involves logging
the payment into the practice management or
billing software. Insurance payers typically
lump payments together for several claims in one
check or electronic funds deposit. This is
reflected on the ERA.
8Thank You.