Medical Office: Most Popular Articles
Medical Receptionist [med-i-kuhl ri-sep-shuh-nist] (Noun): a person employed in a medical office responsible for performing basic clinical, administrative and office support.
Type of bill codes are three digit codes located on a claim form that describes the type of bill a provider is submitting to a payer. Each digit has a specific purpose and is required on all UB-04 claims in field locator 4.
Information on the billing form for institutional providers.
Here are four sample billing cycle letters for patient's with balances greater than $250.00.
No matter if you are managing the small staff of a physicians office or the billing staff in a hospital, the manager can accomplish the goals of the organization from the medical office aspect using various tactics.
Responsible for the timely submission of technical or professional medical claims to insurance companies.
There are two different types of billing - professional billing and institutional billing.
Medical Office Manager
All healthcare providers have a responsibility to keep their staff trained and informed regarding HIPAA compliance. Whether intentional or accidental, unauthorized disclosure of PHI is considered a violation of HIPAA.
How to determine coordination of benefits when the patient has multiple insurance health plans.
Understanding the reasons why medical claims deny can help limit the number of denials your office receives.
Added CPT Codes Radiology Related 2014
Incomplete or inaccurate patient records and communication breakdowns can have serious consequences for the medical office and its patients. One vital piece of information not communicated can have disastrous results. Although some mishaps are unavoidable, effective communication can result in better outcomes for patients and the overall success of the medical office.
Denied claims due to unauthorized patient procedures or services can be a major loss in revenue that should not be taken lightly. Although most medical offices are moving closer to 100% verification for patient services, there is still no guarantee that every account will make it through the insurance company claims department stamped paid.
Depending on the level or need of care a patient has, records may vary, but all medical records will contain some common information.
This registration form template lists the information that the medical office needs to include when creating a registration form.
Once the bill has been received by the insurance company, you do not have to be at their mercy to get paid in a timely manner. Follow-up on your outstanding claims and improve the time it takes to get your claims paid.
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied to a medical claim.
Does your receptionist have excellent telephone etiquette? It is important for your medical office staff to consistently offer a polite, consistent phone manner. When a patient calls in, the way in which the front desk personnel handle the telephone call determines how your facility is perceived.
Here are three sample billing cycle letters for patient's with balances less than $250.00.
Many providers have been hesitant to take on the task of converting from the paper-based medical record system to the electronic medical record. Become familiar with the difference in each system.
Health Information Management is the process of maintaining, storing and retrieving patient health information in accordance with applicable Federal, State, and accrediting agencies' requirements.
Improve the financial performance of your revenue cycle by identifying and correcting the most common medical billing mistakes.
Getting your professional fees billed and paid should not give you a headache. Learn how to properly prepare the CMS-1500 form.
What is a remittance advice? Medical Office.
How do you measure A/R days? Medical Office.
As the backbone of the organization, the accounting department allows the organization to operate at its fullest potential. Without an accounting department, it would be impossible for any type of organization to operate in a cost effective manner.
ICD-9 codes are used to describe a patient's diagnosis including symptoms, diseases or disorders.
There are several things a medical office manager must know in order to begin planning in preparation for the ICD-10 implementation.
Basic information on billing medical claims to Aetna.
Lesson 4: CPT and HCPCS Codes
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.
Selecting an information system (IS) in a healthcare organization takes time and planning. Here are factors to consider when making this decision.
Insurance verification is a key component to the revenue cycle. This article explains the importance of having an insurance verification process in place.
In order for medical claims to process correctly, there is a standard of codes used to identify services and procedures. HCPCS codes are an important billing component.
Job Description. Medical Office.
Procedure Codes. Medical Office.
Medical Assistant. Medical Office.
The first impressions your customers receive about your medical practice are often from your office staff making them crucial to the success of your organization. Know what skills are important when hiring your medical office staff.
Medical Coding Quiz
Basic information on billing medical claims to United Healthcare.
Just like any other organization, there are safety and health hazards that can be found in the medical office. OSHA has five guidelines and standards that will help protect the employees of the medical office.
In America, the spending over the last 15-20 years has increased at a much higher rate than reported in other countries.
Take the medical coding quiz now!
Improving the financial position of your medical office depends on how well you manage your accounts receivables.
There is a process to developing a winning upfront collections policy. Learn what needs to be included in your upfront collections strategy.
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied.
Blue Cross Blue Shield 2013 Updates, 1 - 10
Determining how your patients move throughout your medical office should be one of the first areas to be assessed. From the time a patient schedules an appointment, arrives to the medical office, checks-in for their visit, sits in the waiting area, waits in the exam room, is treated by a physician, checks-out and pays, and finally leaves, only the patient knows whether the entire process flowed smoothly or not.
Workflow and productivity is essential to the success of the medical office. A streamlined workflow will naturally improve employee poductivity. A medical office without efficient ways to perform necessary job duties cannot perform them effectively.
Privacy breaches of protected health information continue to be a problem for the entire health care industry. Facilities across the country have found themselves faced with fines due to the unauthorized disclosure of patient information whether accidental or not.
It is important to be aware of all aspects of the revenue cycle and how it can impact your insurance reimbursements. This article gives great advice on ways to effectively manage the revenue cycle in order to maximize your insurance reimbursements.
Managers can measure medical office staff performance by developing and maintaining a system that measures both quality and quantity of work as specified in the job description for each position.
Proper disposal of protected health information (PHI) and other confidential information whether paper or electronic format is a requirement of HIPAA. Any facility defined by HIPAA as a covered-entity has the responsibility to ensure the privacy and security of its patient’s information as well as maintaining the confidentiality of their PHI.
What are the most current issues for medical office managers? How can a medical office manager implement successful stategies?
While most medical office personnel will not necessarily have to know vast amounts of technical medical terminology, it is important to have a working knowledge in order to effectively fulfill your duties in a medical setting.
The idea of outsourcing your medical billing claims can be a difficult choice if you don't know all of the facts. Before making a decision, learn more about the advantages of outsourcing.
Organization, Marketing and Financial Elements are the three most important elements of a medical office startup business plan.
Is Epic EHR an Epic Failure? Medical Office.
So, what does effective communication look like in the medical office setting?
If you haven't considered appealing your denied claims or are having trouble getting them paid, here is some important information that you can use to assist you in developing a new process.
Health care providers have an obligation to provide their patients with a Notice of Privacy Practices. Learn more about what you need to do to be HIPAA compliant.
This section provides a brief overview of Medicare basic
Medicare Part C are Medicare Advantage Plans, also known as Medicare Managed Care Plans that provide Medicare patients an alternative insurance plan in place of traditional Medicare benefits.
The success of any health care facility depends on the strength of the medical office's financial policy. There are many categories that should be addressed; here are six of them.
Accuracy in payment posting can have a major impact on the success of the revenue cycle.
Coding, billing, and collections are important to a thriving medical facility no matter the size or specialty.
Information on Becoming a Participating Provider
Career Guide. Medical Office.
A manager has several roles to perform within a medical office. Human resources tasks are high on the list of things to do.
Revised and deleted CPT Codes 2014 Radiology Related
In any medical office there are factors that can influence the success of the organization. The key is identifying those factors whether they are within your control or not, and developing a plan that will lead to the achievement of the organization's future goals.
The cycle of a patient account originates with the initial entry of patient demographic information. Building a dynamite patient access services team is a crucial step toward improving billing and collections efforts and increasing revenue cycle performance.
Registered Health Information Technician (Noun): a person employed in a medical office responsible for assembling, organizing, and maintaining healthcare information.
Here are a few simple tips to improve your Medicare billing process.
Added CPT Codes GI Endoscopy Related Codes 2014
Medical records clerk job description, education and salary.
If you are interested in becoming a medical biller, here is Lesson 1: Introduction to Medical Billing.
What has changed on the new CMS 1500 form?
Diversity is an environment that recognizes, values and promotes the differences of people within the Medical Office and the community.
With the increased use of information technology in health care, your medical office must continue to find ways to maintain the security of the protected health information (PHI) of the patients they serve.
Lesson 5: DRG Codes & Modifiers
Don't let any of these social media breaches happen to you...
In the healthcare field, the patient is often left with no other option but to file a complaint against a healthcare worker.
Take the medical billing quiz now!
Information on Becoming a Participating Provider
Each phase of the Revenue Cycle - from the moment a patient is scheduled for an appointment until the time payment is received from the insurance company - is equally important to maximizing insurance reimbursements.
Your medical office staff is your greatest asset but what happens when they are not operating at 100%? Learn how to strengthen your medical office staff.
A physician must be thorough in their notes and explanations in order to give the payer’s medical reviewers sufficient data from which to determine the necessity of a diagnosis, a set of tests, or a treatment or therapy.
Interested in working in the medical office. Here are 8 essential skills you need to have a career in the medical office.
A GA Modifier indicates that the services being performed are not considered medically necessary.
Electronic communication is becoming more popular these days than phone calls, “snail” mail and, even in some instances, face-to-face meetings. In any professional setting including the medical office it is important to consider several things when sending out emails to coworkers, patients, physicians, hospitals, vendors or other professionals.
The importance of knowing common medical office terms.
With the right combination of skills, knowledge and determination, any manager can successfully lead their team to accomplish the objectives of the medical office.
The federal budget sequestration cuts impacting Medicare claims went into effect on April 1, 2013 - April Fools Day - but it was no laughing matter.
The process of starting a Medical Office can be a difficult task but with the proper planning, you can have your Medical Office up and running effectively and efficiently. The decisions you make now are crucial as you set your goals regarding every aspect of your Medical Office.
There are lots of products available to help you adhere to HIPAA rules and regulations. Here are 4 essential HIPAA office products that are a must have.
No one wants the hassle of having an insurance overpayment. However, there is a simple process to make sure refunds are handled promptly.
Medicare Part B is the part of Medicare called medical insurance. This part of Medicare is optional to patients one they reach the age of 65 and charges a monthly premium. Part B covers most services not covered by Part A.
Basic information of health insurance plans is important for treating patients for an illness or injury. Becoming familiar with the types of health insurance plans that are common to the medical office eliminate problems and complications in the long run.
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In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.
Adequate staffing with proper collections training will provide the desired outcome in your the collections phase of the revenue cycle. Medical office staff should be aware of the fundamental steps necessary for efficient follow up of insurance claims.
The top 20 physician specialties and definitions from A - Z.
As the leader of your organization, one of your many responsibilities is to find ways to motivate your employees. It is important to understand what factors influence maximum performance and how.
Lesson 3: ICD-9 Coding
The medical billing process in 6 steps
The most important right that a patient has is the right of informed consent. A patient should only consent to medical treatment if they have sufficient information about their diagnosis and all treatment options available in terms he/she can understand.
Lesson 1: Introduction to Medical Coding
The best way to inform patients and provide them with important information is to put it in writing. Here are 5 handouts that every medical office needs to give out to new patients.
Lesson 2: Medical Coding Basics
When creating an office standards index or policy and procedure manual, the office manager should consider every aspect of patient care from initial contact to final billing.
If you haven't done so already, it is time to update your medical office policies to include the use of Social Media for both personal and professional use.
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Scheduling patient appointments should not be a battle, but sometimes it is a bit hectic. Use these three simple steps to help your medical office manage scheduling conflicts.
Medicare is split into two parts. Medicare Part A is called hospital insurance and Medicare Part B is called medical insurance. Find out more about Medicare Part A.
Basic information on billing medical claims to Coventry Health Care
There are many benefits to changing from a traditional medical office to a paperless one...
Understanding the difference between when Medicare is primary or secondary can make billing Medicare easier for health care providers.
Using SOAP in the electronic health record
It is important to know when it is necessary to use a Medicare ABN and the responsibility of a health care provider to it's Medicare patients.
Whenever a medical office begins to struggle with revenue performance, they usually make the decision
Job Description. Medical Office.
A successful leader communicates clearly, completely, and effectively. The importance of this cannot be overstated, especially in a medical setting as often times the needs of a medical office are time sensitive.
Certain information regarding a patient's medical record is considered protected health information. According to HIPAA, PHI requires special handling to prevent a breach in confidentiality. Learn more.
Lesson 2: Medical Office Terminology Part 2
Here is the list of the upcoming national health observances for 2014
Determining employee compensation does not only involve deciding an hourly rate or pay ranges for each position within your medical office staff. Compensation also includes benefits in any form other than the salary that is paid to the employee.
Medical Record Checklist
Requesting money from a sick patient for some people seems insensitive, however, it must be understood that health care costs money. Although it may be a touchy topic, collecting upfront payment from your patients is a necessary aspect that needs to be addressed.
The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry.
A brief overview of procedural coding
Here are 5 areas that require an understanding in order to be successful in medical billing.
Paper billing is not the first choice for billing medical claims but is sometimes a necessary chore. Of course, the electronic claims process is much simpler and faster compared to the manual process of paper billing. So if you must, here are some simple tips for successful paper billing.
Receiving a nonsufficient funds or NSF check is simply something out of any organization’s control unless you decide that you will not accept them at all. However, there are still a large amount of people that write personal checks to pay their medical bills.
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records. Coding claims accurately lets the insurance payer know the illness or injury of the patient and the method of treatment.
Getting your medical claims out of the door and paid as soon as possible is every health care provider's primary goal as far as finance is concerned. The faster the claim goes out, the faster the money comes in. Make sure your office is equipped with the necessary software to save time and money.
Job Description. Medical Office.
Patient satisfaction is not just based on how well the patient view the medical treatment received but also includes how well the patient understands the medical bills they receive.
Maintaining excellent customer service while still offering excellent customer can be a challenge. Learn the do's and don'ts of patient collections practices.
Understanding the different methods of payment is essential for the financial management of the medical office.