Provide hard and soft copy of the bill to the patient
12
Assign the bill to an Account Receivable
13
Scheduling of installment payment if necessary
14
Initiate the payment process
15
Process the payment by the patient
16
Close the patient's case and update records in the system
17
Review and reconcile any billing discrepancies
18
Approval: Billing Reconciliation
19
Forward any pending bill or unpaid charges to collection agencies
20
Generate Monthly Hospital Billing Report
Patient walks in and provides necessary details
Welcome the patient and ask them to provide their personal and contact information. Inform them that this will be used for billing purposes. How will their information help in providing accurate and timely billing? If they have any questions or concerns, address them. Make the patient feel comfortable and confident in sharing their information.
Verify patient insurance details
Ensure that the patient's insurance information is correct and up to date. What are the reasons for verifying insurance details? Inform the patient that this is necessary for accurate billing. If there are any discrepancies, inform the patient of the necessary steps to resolve them. What resources or tools are available to verify insurance details?
Approval: Insurance Verification
Will be submitted for approval:
Verify patient insurance details
Will be submitted
Generate patient's case number
Assign a unique case number to the patient for tracking and reference purposes. What are the benefits of having a case number? Inform the patient that this will be used throughout their billing process. How can the patient use this case number to inquire about their billing status?
Record services rendered to the patient
Document the services that were provided to the patient. What is the importance of recording these services accurately? Inform the patient that this is necessary for accurate billing. What information should be included in the record of services?
Assign billing codes to services provided
Assign appropriate billing codes to the services provided to the patient. How do billing codes help in the billing process? Inform the patient that these codes ensure accurate billing. What tools or resources are available for assigning billing codes?
1
Code 1
2
Code 2
3
Code 3
4
Code 4
5
Code 5
Calculate total charges for services provided
Calculate the total charges for the services provided to the patient. How are the charges calculated? Inform the patient that this is based on the services received and the corresponding billing codes. What information is needed to calculate the total charges?
Approval: Charges Calculation
Will be submitted for approval:
Calculate total charges for services provided
Will be submitted
Generate the patient's bill
Generate the bill for the patient based on the total charges and the services provided. How will the patient receive the bill? Inform the patient that this bill reflects the services they received and the corresponding charges. What details should be included in the bill?
Record bill in the hospital's billing system
Enter the patient's bill into the hospital's billing system for proper tracking and record keeping. How does recording the bill in the system benefit the hospital? Inform the patient that this ensures accurate tracking and management of their billing. What information from the bill should be recorded?
Provide hard and soft copy of the bill to the patient
Offer the patient a choice between receiving a hard copy or a soft copy of their bill. How does providing the bill in different formats benefit the patient? Inform the patient that this can be provided via email or physical copy. What details should be included in the bill?
1
Hard Copy
2
Soft Copy (Email)
Assign the bill to an Account Receivable
Assign the patient's bill to an Account Receivable for further processing and tracking. What is the role of the Account Receivable in the billing process? Inform the patient that this ensures proper management of their bill. Who is responsible for assigning the bill to the Account Receivable?
Scheduling of installment payment if necessary
Discuss the possibility of scheduling installment payments with the patient if necessary. How does offering installment payments benefit the patient? Inform the patient that this can be a convenient option to manage their bill. What payment terms should be discussed with the patient?
1
Yes
2
No
Initiate the payment process
Initiate the payment process with the patient based on the agreed payment terms. How will the payment be processed? Inform the patient that this ensures timely resolution of their bill. What payment methods are accepted?
1
Credit Card
2
Debit Card
3
Cash
4
Check
Process the payment by the patient
Process the payment made by the patient according to the selected payment method. How does processing the payment benefit the patient? Inform the patient that this confirms the resolution of their bill. What information is needed to process the payment?
Close the patient's case and update records in the system
Close the patient's case and update the records in the system to reflect the resolved bill. How does closing the case benefit the hospital? Inform the patient that this confirms the resolution of their bill. What details from the resolved bill should be recorded?
Review and reconcile any billing discrepancies
Review the patient's billing details and reconcile any discrepancies that may have occurred during the billing process. How does reviewing and reconciling discrepancies benefit the patient? Inform the patient that this ensures accurate billing. What information is needed to review and reconcile the discrepancies?
Approval: Billing Reconciliation
Will be submitted for approval:
Review and reconcile any billing discrepancies
Will be submitted
Forward any pending bill or unpaid charges to collection agencies
If there are any pending bills or unpaid charges, forward them to the collection agencies for further action. Why is it necessary to involve collection agencies? Inform the patient of the potential consequences of non-payment. What information should be provided to the collection agencies?
Generate Monthly Hospital Billing Report
Generate a monthly report summarizing the hospital's billing activities. What is the purpose of generating this report? Inform the patient that this ensures transparency and accountability. What information should be included in the report?
