Professional Interview
A medical biller responsibility in a healthcare facility is to follow the claim to ensure that the practice receives reimbursement for the work that the providers perform. A medical biller also review hospital and patient records, examine and submit claims, answer patient questions, calculate charges, and manage payments. In this interview we will learn the difference between an NPI and a TIN number, explains what a EOB/ERA is, the difference between a deductible, co-pay and co-insurance, the three (3) common mistakes for a claim denial, and the seven (7) step process to submitting an electronic claim.
Difference between an NPI and TIN number A NPI (National Provider Identification) is the standard identifications number issued by the federal government for individual healthcare providers and …show more content…
For each service submitted to an insurer the EOB/ERA gives the name of the insured, name of beneficiary, claim number, date, place and type of service, the amount billed, the amount allowed, coinsurance, and amount paid.
Difference between a Deductible, Copay, and Coinsurance A deductible is the amount the insurer pays on services before benefits begin; the co-pay is usually a fixed fee that is collected at the time of service, and coinsurance is the percentage of covered charges after the deductible is met.
The three (3) common mistakes for a claim denial The three (3) most common mistakes on a claim are incomplete name of the facility, address and identification for services rendered; missing or invalid insured birthdate and missing information about any secondary insurance plan. Denials can be avoided by taking your time when putting in pertinent information and reviewing completed claims before submitting.
The seven (7) steps in the process of submitting an electronic
A medical biller responsibility in a healthcare facility is to follow the claim to ensure that the practice receives reimbursement for the work that the providers perform. A medical biller also review hospital and patient records, examine and submit claims, answer patient questions, calculate charges, and manage payments. In this interview we will learn the difference between an NPI and a TIN number, explains what a EOB/ERA is, the difference between a deductible, co-pay and co-insurance, the three (3) common mistakes for a claim denial, and the seven (7) step process to submitting an electronic claim.
Difference between an NPI and TIN number A NPI (National Provider Identification) is the standard identifications number issued by the federal government for individual healthcare providers and …show more content…
For each service submitted to an insurer the EOB/ERA gives the name of the insured, name of beneficiary, claim number, date, place and type of service, the amount billed, the amount allowed, coinsurance, and amount paid.
Difference between a Deductible, Copay, and Coinsurance A deductible is the amount the insurer pays on services before benefits begin; the co-pay is usually a fixed fee that is collected at the time of service, and coinsurance is the percentage of covered charges after the deductible is met.
The three (3) common mistakes for a claim denial The three (3) most common mistakes on a claim are incomplete name of the facility, address and identification for services rendered; missing or invalid insured birthdate and missing information about any secondary insurance plan. Denials can be avoided by taking your time when putting in pertinent information and reviewing completed claims before submitting.
The seven (7) steps in the process of submitting an electronic