How Hippa, Icd, Cpt, and Hcpcs Ten Steps of the Medical Billing Process.
The ten steps to the medical billing process can be categorized into three main groups. These three groups are the visit, claims, and post-claims processes. When it comes to the visit category, this category has a great deal to do with the patients personal information getting the patient established, such as pre-registering the patient. This is the process when we use the HIPPA privacy act to help gain the trust and confidence of the new patients and returning patients to our office. Also, we have the step that we take to inform the patient of his or her obligations to pay this is another form of the HIPPA act that we must follow when it comes to the patient’s personal information such as finances. The claim category uses the help of the ICD, CPT, and the HCPCS billing strategies to help ensure that we are doing all that we can to fully utilize the patients insurance and to better suit the patient. When using these forms we are reviewing the coding compliances. We are also checking billing compliances, when we are made responsible for billing the correct information and codes to the insurances that are involved. In the claim category we are also made aware that we must follow any rules that the proper billing and coding standards set for us. Preparing and submitting the claim is the key to success in any office this is why this process is so important to follow. The last category of the steps that we come to is post- claims where monitoring payer adjustments, generate patient statements, and follow up with patients payments along with any collections. This step brings us back to following any HIPPA regulations when it comes to collecting payment and gathering information for collections. This privacy act must be acknowledged at all times and followed to ensure that you get paid and the patients can not complain. Looking back over these steps it is important to follow each and every one of them so that every party involved gets the outcome that he or she