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5 Cards in this Set
- Front
- Back
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Terminology
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*Chart number-assigned number that is numeric or alpha-numeric
*Encounter form- includes information for services and diagnosis given along with allnecessary information for billing(superbill, router, charge slip) *Front desk- patient check in area, duties at the front desk also include answering phones, scheduling, management of the waiting room *Information cycle- steps performed before, during and after being seen by the provider *Medical Practice Manangement Software- software used to schedule patients, submit claims and perform accounting procedures *Responsible party- another name for guarantor *Provider- refers to physicians, PA, CNP |
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Check In
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*prior to checking in the patient must call to set the appointment up
*verify and update any information when the patient checks in(ask for ID, proof of address, insurance information, of any other changes since last visit) *if information is outdated it's best to have patient complete a form updating information so the files will be current *verify the insurance that the patient is actually eligible *if any copay is attached to any of the insurance policies collect it, know what the ploicy is in the office *after performing all above steps in counter form the patient is then ready to see the physician for the visit |
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The Visit
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*selection of services that are identified on the counterform, whether or not they did an office visit, small surgerical procedure, EKG, blood work
*any additional information that is relevant to the physician that is important can be documented on the in counterform-transcriptions will be permanently be put into the patients medical record *diagnosis is the reason for the visit which will also be placed on the incounterform *patients will be given discharge instructions and then sent along to be checked out-form will then be given to the patient so that they will see what the charges are for or if there are any additional procedures that need to be done |
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Check Out
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*make sure to ask the patients if he/she has any questions regarding their visit
*make sure to don't give out advice on certain things especially if you have no idea of what they are-send the patient back to the physician or either send them to the nurse and let them take care of those questions *if money was not collected before the patient saw the physician do so as the patient check out(copays, deductibles, insurance amounts) *if there is an return visit schedule it at the time of checkout *make sure patient has all of the insturctions they are going to need, and if any diagnostic testing has been ordered *make sure the patient has a good understanding and that we've answered any question that they may have at the time frame *give the patient any information regarding outside appointments or refferals, give them the phone number for follow-up *physicians office usually is the one to make a refferal call |
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Processing the Claim
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*The encounter form wil be used to obtain the necessary information to bill the third party
*The medical record may also be utilized to further define a diagnosis *Enter the information into the computer *Send claim *Follow up on a regular basis |
