Preview

Summary Of Medical Claims

Satisfactory Essays
Open Document
Open Document
101 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Summary Of Medical Claims
By having a billing department for each facility reduces the number of claims. A staff that is not overwhelmed with work will minimize errors and rejections; hence, claims will be paid quickly generating revenue for the company. According to Marting (2015), inadequate management of the medical claim process can be unfavorable to the financial health and sustainability of the business. The key to improving the economic performance is to guarantee that the billing team competent and able to submit claims accurately. The entire organization relies on this area to operate efficiently and keep a constant flow of revenue for the company.

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Working in the medical billing industry can be daunting at times. My last position as a follow up representative, proved to be the most challenging job that I have ever had. I have an extensive background in the medical insurance industry. I was aware of the way that claims were to be handled and submitted to insurance companies. The company that I had worked for had just won a contract for taking over the medical billing for twelve physicians in Portland, Oregon. Right off the bat, there were a variety of issues concerning how to bill the medical claims correctly. Claims have to be submitted on time, with the correct codes and information on them, before they can be processed by the insurance company.…

    • 370 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Medical Case Summary

    • 444 Words
    • 2 Pages

    DOI: 4/1/2004. The patient is a 70 -year-old male operator who sustained a work-related injury to his right knee, shoulder and head when he fell off a bike at the refinery.…

    • 444 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    There are ten steps included in the billing process and are used to help process the patient’s information from preregistration to the follow up payments. Each patient has the responsibility to pay for their services once they have received care from a facility by themselves or an insurance company. Many different health insurance companies that may help an individual cover their medical expenses or even pay the entire bill. This billing process is usually done in the back office whereas the registration and collection of information is done in the front office.…

    • 749 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Hsm 542 You Decide Week 4

    • 691 Words
    • 3 Pages

    As the CFO of Marysville General Hospital, I realize we have a serious accounts receivable problem here. It has gotten out of control, and we are going to get it back in control. All it takes is a little effort from everyone to get us back on here. With the process improvement plan I am proposing, I will need the assistance and cooperation of the medical staff, the clinical departments, the business office, health information management, and all other departments.…

    • 691 Words
    • 3 Pages
    Good Essays
  • Better Essays

    In order to complete your duties as a medical biller efficiently; you must follow the medical billing process. Following this process leads to maximum and appropriate payments in a timely fashion. There are a total of ten steps you should follow; which include:…

    • 958 Words
    • 4 Pages
    Better Essays
  • Best Essays

    Sutter Case Analysis

    • 2710 Words
    • 11 Pages

    An increasing issue within the health care field is the inability to collect debt from the growing population of uninsured or underinsured patients. Healthcare organizations may be struggling to meet operational margins because the industry has never treated its customers like other retail-oriented sectors of the economy. A McKinsy and Company report states that hospitals incur sixty billion dollars in bad debt annually because they typically collect only ten to twenty percent of a total uninsured patient balance after service. (MacKenzie, 2009) This is due to a number of reasons, including poor accounting practices or a lack of patient information. This paper will discuss how one hospital, California’s Sutter Health, has taken steps to correct this issue. It will analyze the accounting practices put into place by Sutter Health and the success of this practice. This author will also provide an alternate solution to the issue of debt collection for self-pay patients as well as an opinion concerning the actions taken by Sutter Health.…

    • 2710 Words
    • 11 Pages
    Best Essays
  • Good Essays

    Compliance plans are put into place to find, correct, and prevent illegal medical office practices. In correlation with medical records documentation standards, these plans eliminate the possibility of errors by training staff members who work with medial records including front office staff along with billers and coders.…

    • 275 Words
    • 2 Pages
    Good Essays
  • Good Essays

    After conducting a meeting with the medical staff, various clinical departments, Health Information Management, and Business office personnel regarding Accounts Receivable issues within our facility, it was determined that many different areas of concern needed to be addressed. This includes problems with patient admission and registration procedures, claims processing, an inadequate amount of information being written in charts, rejected claims, and patient follow up. Many suggestions from all departments were made during the meeting in an attempt to decrease the number of days that necessary…

    • 867 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Payment Entry Process

    • 1356 Words
    • 6 Pages

    When a claim has been processed and paid, the amount paid will have to be applied to the amount charged for individual patient’s treatment in the Medical Billing Software. This makes it possible for the billing office to track the payments received from different angles. The billing office would want to track the payments received based on differed criteria.…

    • 1356 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    The medical billing process and all of the functions that pertain to it are the responsibilities of the medical insurance specialist. It addresses all tasks that will be performed by the administrative staff members during the medical billing process. These functions are typically handled by front office staff members such as the receptionist (registration) and scheduling.…

    • 672 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    There are times that the claims are not complete and are return to the medical office for further information. Because a lot of claims have been sent back to the medical office they have to come back with a decision that is evaluating compliance strategies in medical coding to keep the billing consisting and efficient.…

    • 804 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Working with Teams

    • 273 Words
    • 2 Pages

    Employees from the billing department are not receiving the accurate codes and information needed for data entry, slowing production and payment for the doctor. As head of the billing department, you have been delegated to lead a problem-solving team to resolve this issue.…

    • 273 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The health care industry is a multi-million dollar industry. Health insurance, providers, technology management, and inpatient and outpatient procedures are among the many terms that we hear nowadays within this industry. The principal phrase that seems to be ringing in the ears of the government and policymakers are debt and cost-control. There are fundamental concepts that should be understood throughout the health care industry as it relates to finance. On one hand, many individuals have a general knowledge concerning health care organizations from the standpoint of insurance, copays, and deductibles. These constructs are more familiar to a person that has any health care needs due to the routine of having to provide some form of payment…

    • 726 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Medical Report

    • 2300 Words
    • 10 Pages

    This assignment is for you to create a screening tool for potential hires in your health care facility. As the health care administrator, you would want to ensure that your future employees have a strong understanding of medical reports and medical terminology. You are writing these reports for the applicants to read, interpret, and answer a set of questions you have developed. Refer to the samples of medical records reports on pages (142-144, 196, & 261-263) of the textbook. Each medical record should be completed and contain two questions you would ask of the potential hires.…

    • 2300 Words
    • 10 Pages
    Better Essays
  • Satisfactory Essays

    When people think about jobs in the health care field, it can be easy to assume that most jobs involve direct, hands-on patient care. What many people don’t realize is that administrative jobs are equally vital to ensuring quality health care services. Medical billing and coding is an important piece in the administrative puzzle that makes up the vast health industry. As with most administrative jobs, medical coding and billing professionals need to have excellent attention to detail, as one wrong code or inaccurate statement can have an extremely negative impact on a health care facility.…

    • 612 Words
    • 3 Pages
    Satisfactory Essays