CHAPTER 1 The Medical Billing Cycle © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1-2 Learning Outcomes When you finish this chapter, you will be able to: 1.1 1.2 1.3 1.4 1.5 Identify four types of information collected during preregistration. Compare fee-for-service and managed care health plans, and describe three types of managed care approaches. Discuss the activities completed during patient check-in. Discuss the information contained on an encounter form at check-out. Explain the importance of medical necessity. © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1-3 Learning Outcomes (Continued) When you finish this chapter, you will be able to: 1.6 1.7 1.8 1.9 1.10 Explain why billing compliance is important. Describe the information required on an insurance claim. List the information contained on a remittance advice. Explain the role of patient statements in reimbursement. List the reports created to monitor a practice’s accounts receivable. © 2011 The McGraw-Hill Companies, Inc. All rights reserved. Key Terms • accounting cycle • accounts receivable (A/R) • adjudication • capitation • coding • coinsurance • consumer-driven health plan (CDHP) • copayment • deductible • diagnosis 1-4 • diagnosis code • documentation • electronic health records (EHRs) • encounter form • explanation of benefits (EOB) • fee-for-service • health maintenance organization (HMO) • health plan • managed care © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1-5 Key Terms (Continued) • • • • • • • • medical coder medical necessity medical record modifier patient information form payer policyholder practice management program (PMP) • preferred provider organization (PPO) • premium • • • • procedure procedure code remittance advice (RA) statement © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1-6 1.1 Step 1: Preregister Patients • Patient information gathered via phone or Internet before visit: – – – – Name Contact information Reason for the visit Whether patient is new to practice © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.2 Step 2: Establish Financial Responsibility for Visit 1-7 • Many patients have medical insurance, which is an agreement between a policyholder and a health plan • To secure medical insurance, policyholders pay premiums to payers, which are health plans such as government plans and private insurance © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.2 Step 2: Establish Financial Responsibility for Visit (Continued) 1-8 • Fee-for-Service Health Plans – Policyholders are repaid for medical costs – Requires payment of coinsurance – Usually a deductible must be paid before benefits begin • Managed Care Health Plans – Managed care organizations control both financing and delivery of health care – Have contracts with both patients and providers © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.2 Step 2: Establish Financial Responsibility for Visit (Continued) 1-9 • Types of managed care health plans – Preferred provider organization (PPO): provider network for plan members; discounted fees – Health maintenance organization (HMO): pays fixed amounts called capitation payments to contracted providers; patients must pay a small fixed fee called a copayment per visit – Consumer-driven health plan (CDHP): combines a health plan with a high deductible with a policyholder's savings account © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.3 Step 3: Check In Patients 1-10 • Patients complete the patient information form that contains personal, employment, and medical insurance information • Patient identity is verified • Time-of-service payments due before treatment are collected © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.4 Step 4: Check Out Patients 1-11 • Every time a patient is treated by a health care provider, a record, known as documentation, is made of the encounter • This chronological medical record, or chart, includes information that the patient provides © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.4 Step 4: Check Out Patients (Continued) 1-12 • Diagnoses and Procedures – A diagnosis is the physician’s opinion of the nature of the patient’s illness or injury – Procedures are the services performed – Coding is the process of translating a description of a diagnosis or procedure into a standardized code • A patient’s diagnosis is communicated to a health plan as a diagnosis code • A procedure code stands for a particular service, treatment, or test • A modifier is a two-digit character that is appended to a CPT code to report special circumstances © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.4 Step 4: Check Out Patients (Continued) 1-13 • The diagnosis and procedure codes are recorded on an encounter form, also known as a superbill • A practice management program (PMP) is a software program that automates the administrative and financial tasks required to run a medical practice © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.5 Step 5: Review Coding Compliance 1-14 • A physician, medical coder, or medical insurance specialist assigns codes • The documented diagnosis and medical services should be logically connected, so that the medical necessity of the charges is clear to the insurance company – Medical necessity is treatment by a physician for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in an appropriate manner © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.6 Step 6: Check Billing Compliance 1-15 • Each charge, or fee, for a visit is represented by a specific procedure code • The provider’s fees for services are listed on the medical practice’s fee schedule • Medical billers use their knowledge to analyze what can be billed on health care claims © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.7 Step 7: Prepare and Transmit Claims 1-16 • Medical practices produce insurance claims to receive payment • PMPs generate health care claims for electronic transmittal © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.8 Step 8: Monitor Payer Adjudication 1-17 • When a claim is received by a payer, it is reviewed following a process known as adjudication—a series of steps designed to judge whether it should be paid • The document explaining the results of the adjudication process is called a remittance advice (RA) or explanation of benefits (EOB) © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.9 Step 9: Generate Patient Statements 1-18 • A statement lists all services performed, along with the charges for each service • Statements list the amount paid by the health plan and the remaining balance that is the responsibility of the patient © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1.10 Step 10: Follow Up Patient Payments and Handle Collections 1-19 • The accounting cycle is the flow of financial transactions in a business • PMPs are used to track accounts receivable (AR)—monies that are coming into the practice • PMPs are also used to create day sheets, monthly reports, and outstanding balances reports © 2011 The McGraw-Hill Companies, Inc. All rights reserved.