Steps in the Medical Billing Process

University of Phoenix Material

Steps in the Medical Billing Process

Part A

Reference: Ch. 1 of Medical Insurance

Complete the following table by identifying the 10 steps in the Medical Billing Process. Write 2 to 3 sentences describing each step. Be as specific as possible. For example, Step 1 may be, “Preregister Patients.”

|Step |Description |

|Step 1: |Preregister patients, an appointment is given or updated and insurance information is |

| |input in the computer along with demographic information, |

|Step 2: |Establishing financial responsibility is done by finding out what is covered by the |

| |insurance plan, finding out what isn’t and what the patient financial responsibility will|

| |be. |

|Step 3: |Check in the patient this is the time when the insurance card is copied and missing |

| |demographic information is filled in along with the reason for the visit |

|Step 4: |Review coding compliance is done. Diagnosis codes are assigned to the services, |

| |treatments and procedures done by the physician. |

|Step 5: |Review billing compliance is done to ensure all the proper codes are assigned for all the|

| |services, treatments and...