Presentation is loading. Please wait.

Presentation is loading. Please wait.

Preparing Insurance Claims and Posting Insurance Payments

Published bySuzan Stevenson Modified over 9 years ago

Similar presentations

Presentation on theme: "Preparing Insurance Claims and Posting Insurance Payments"— Presentation transcript:

1 Preparing Insurance Claims and Posting Insurance Payments
Chapter 17 Preparing Insurance Claims and Posting Insurance Payments

2 CMS-1500 Form Standard form used in medical offices

3 Filing Claims Electronic filing Filing paper claims
Electronic data interchange & standards Clearinghouses ensure claims are complete and correctly formatted Filing paper claims Used in limited situations

4 Claims Tracking Method of monitoring outstanding claims
Electronic claims tracking Available with most practice management software Claims follow-up Electronically-submitted claims: after 3 weeks Paper claims: after 6 weeks

5 Insurance Payments Insurance payments are applied to a patient’s account, with any appropriate adjustment Payments are detailed on an EOB or RA

6 Billing Secondary Insurance
Secondary insurance is more common today with dual income earners in households Once payment is received from primary insurance, a new claim is created for secondary insurance Secondary insurance often pays the balance Attach a copy of the primary insurance EOB to the claim

Download ppt "Preparing Insurance Claims and Posting Insurance Payments"

Similar presentations

Posting Insurance Payments and Creating Patient Statements

Posting Insurance Payments and Creating Patient Statements
Billing, reimbursement, and collections

Billing, reimbursement, and collections
© 2009 by The McGraw-Hill Companies, Inc. All rights reserved. McGraw-Hill Career Education Chapter 7: Creating Claims Computers in the Medical Office.

© 2009 by The McGraw-Hill Companies, Inc. All rights reserved. McGraw-Hill Career Education Chapter 7: Creating Claims Computers in the Medical Office.
HEALTH CARE CLAIM PREPARATION AND TRANSMISSION

HEALTH CARE CLAIM PREPARATION AND TRANSMISSION
Health Care Claim Preparation & Transmission Chapter 8 OT 232 Lecture 2 1OT 232 Ch 8 lecture 1.

Health Care Claim Preparation & Transmission Chapter 8 OT 232 Lecture 2 1OT 232 Ch 8 lecture 1.
REIMBURSEMENT FOLLOW-UP AND COLLECTIONS Chapter 7.

REIMBURSEMENT FOLLOW-UP AND COLLECTIONS Chapter 7.
What you need to know about billing to Medicaid Beverly Remm Director of Billing Orion Healthcare Technology.

What you need to know about billing to Medicaid Beverly Remm Director of Billing Orion Healthcare Technology.
CHAPTER © 2012 The McGraw-Hill Companies, Inc. All rights reserved. 8 Health Care Claim Preparation and Transmission.

CHAPTER © 2012 The McGraw-Hill Companies, Inc. All rights reserved. 8 Health Care Claim Preparation and Transmission.
CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 2 The Use of Health Information Technology in Physician Practices.

CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 2 The Use of Health Information Technology in Physician Practices.
Welcome! If you experience any technical difficulties or have any questions, please call: 978.805.4179 or This teleconference.

Welcome! If you experience any technical difficulties or have any questions, please call: or This teleconference.
© 2009 by The McGraw-Hill Companies, Inc. All rights reserved. McGraw-Hill Career Education Computers in the Medical Office Chapter 1: The Medical Office.

© 2009 by The McGraw-Hill Companies, Inc. All rights reserved. McGraw-Hill Career Education Computers in the Medical Office Chapter 1: The Medical Office.
CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1 The Medical Billing Cycle.

CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 1 The Medical Billing Cycle.
Copyright © 2008 Delmar Learning. All rights reserved. Chapter 4 Life Cycle of an Insurance Claim.

Copyright © 2008 Delmar Learning. All rights reserved. Chapter 4 Life Cycle of an Insurance Claim.
SHELLY GUFFEY MAKING THE MOST OF YOUR REVENUE CYCLE MANAGEMENT TECHNOLOGY 11.15.12.

SHELLY GUFFEY MAKING THE MOST OF YOUR REVENUE CYCLE MANAGEMENT TECHNOLOGY
2015 User Conference Fixing Patient Accounts April 23 & 24, 2015 Presented by: Kim Gingras and Becky Lynch EHR Training Specialist - RCM Manager PM Session.

2015 User Conference Fixing Patient Accounts April 23 & 24, 2015 Presented by: Kim Gingras and Becky Lynch EHR Training Specialist - RCM Manager PM Session.
© 2011 The McGraw-Hill Companies, Inc. All rights reserved. Step 7 in the Medical Billing Cycle: Prepare and Transmit Claims 1-16 Medical practices produce.

© 2011 The McGraw-Hill Companies, Inc. All rights reserved. Step 7 in the Medical Billing Cycle: Prepare and Transmit Claims 1-16 Medical practices produce.
Posting Insurance Payments and Creating Patient Statements

Posting Insurance Payments and Creating Patient Statements
2 The Use of Health Information Technology in Physician Practices.

2 The Use of Health Information Technology in Physician Practices.
9 Creating Reports.

9 Creating Reports.
Copyright © 2008 Delmar Learning. All rights reserved. Chapter 18 Financial Management of the Medical Practice.

Copyright © 2008 Delmar Learning. All rights reserved. Chapter 18 Financial Management of the Medical Practice.

Similar presentations

Ads by Google