Bariatric Medical Billing Queens: Steps Involved in the Process
Bariatric medical billing Queens is quite a complicated process as it involves medical billing codes that may keep changing. Here are the steps involved in this process:
Patient Check-in – When the patient calls for an appointment for check-up, the process starts. The patient must provide information about his or her insurance provider if it is the first time seeking medical consultation. Otherwise, they just have to update the information already submitted.
Patient Check-out – After the consultation, all patient information including the diagnosis will be sent to the medical coder so it can be translated to medical codes which are essential in creating the superbill that is then sent to the medical biller.
Compliance Check – The medical biller prepares the claim, ensuring that all the codes and formats used are in compliance to applicable laws and rules. The biller then submits the claim to the payer.
Claims Evaluation – The payer evaluates the claim filed for accuracy and determine which ones they are paying and which ones are not. They point out errors and notify the biller. Some claims may be denied due to these errors. Should the claims be denied, the biller will check the claims for discrepancies, correct them, and file for an appeal.
Patient Statement Issuance – Once finalized, the biller will then notify the patient for the procedures covered by the payer. If there are remaining services not covered by the payer, the patient is obliged to pay on their own. The statement comes with an explanation why are some services covered and why some are not.
Payments and Collections – The biller handles the payments and collections. They follow-up patients for timely payments and make sure that the providers get proper compensation.
ProMD Practice Management was founded in 2004 by a team of physicians and health services administration professionals who had directed the expansion of South Florida Perinatal Medicine into one of the foremost maternal fetal medical practices in the state.