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4 Cards in this Set
- Front
- Back
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Claim Infromation
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*Infromation for creating the claim wil be acquired from the superbill and/or the medical record
*Data entry of this needs to be accurate *Double check to make sure all services have been billed for *Follow the billing guidelines for proper order of service codes, adding modifiers, order of diagnoses *Other items to be added could include authorization numbers, hospitalization, CLIA number *Anything questionable needs to be resolved |
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Reason for Changes
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*Missed information
*Rejection *Wrong information *Services not performed |
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Time of Edit
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*Before billing cycle
-Find the claim to be edited and make necessary changes *After billing cycle -Find the claim to be edited and make necessary changes and rebill to insurance company |
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Guidelines in Billing
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*First bill itemized-The 1st bill should include an itemization of what services where rendered and how funds were applied
*Once a month-Stay consistent in sending out the bills on a regular basis *Cycle billing-Allows the office to divide the cycle to avoid once a month peak workloads *Billing third parties-Insurances need to be billed daily/weekly since most insurance carriers have time limits for filing *Billing minors-A minor cannot be help resposible unless, emancipated |
