Cascardo D, Kells C T
Physician Organization Business Office, Weill Medical College of Cornell University, New York, NY, USA.
J Med Pract Manage. 2000 Nov-Dec;16(3):138-42.
For many practices, billing is a back-office task to be completed when the patient leaves the office. Historically, medical offices have placed their least experienced personnel at the front desk while the experienced staff remain hidden behind the scenes handling claims. Today's emphasis on customer service, however, has pushed the pendulum so that seasoned personnel are among the first with whom patients interact. Billing is a process that begins at the front desk when the appointment is made. Understanding the billing pipeline and how every action in a practice can contribute to the successful submission of "clean" claims and improved cash flow can encourage the physician and staff to think "billing" during each step of a patient's visit. This article will take you through the steps involved in the billing pipeline from patient registration to final payment or collection agency referral. For each step, we will point out how the actions of the staff affect billing and what can be done to assure accurate, clean claims are submitted promptly.
对于许多医疗机构而言，计费是一项在患者离开诊所后才进行的后台任务。从历史上看，医疗诊所会将经验最少的人员安排在前台，而经验丰富的员工则隐藏在幕后处理理赔事宜。然而，如今对客户服务的重视已经改变了这种情况，使得经验丰富的员工成为患者最先接触到的人员之一。计费是一个从预约时就开始的过程，始于前台。了解计费流程以及诊所中的每一个行为如何有助于成功提交“无差错”的理赔申请并改善现金流，能够促使医生和员工在患者就诊的每一个环节都考虑到“计费”问题。本文将带您了解从患者挂号到最终付款或转至收款机构这一计费流程中所涉及的各个步骤。对于每一个步骤，我们将指出员工的行为如何影响计费，以及可以采取哪些措施来确保准确无误的无差错理赔申请能够及时提交。
