decisionhealth Newsletters, Coder Pink Sheets - 2005 Issue 5 (May)
Ask front-end questions to reduce back-end denials
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Article Overview
This article covers front-end registration and scheduling practices for physician offices, with emphasis on gathering patient, referral, insurance, accident, and policy-holder information before the visit. It is aimed at practice managers, front-desk staff, and revenue cycle teams that want to reduce back-end denials by improving access, verification, and documentation workflows. The discussion also touches on handling workers’ compensation and auto-related cases, insurance eligibility questions, and office workflow organization.
Why This Topic Matters
Getting the right information at the start of the patient encounter can reduce claim delays, lessen denial risk, and improve billing accuracy for physician practices.
What You Will Learn
- What patient and insurance information to collect during scheduling
- Why early verification and authorization checks matter
- How front-end workflow choices can affect denial risk
- What additional considerations apply to referral, deductible, and copay questions
- Why separate handling of workers’ compensation and auto cases can help office workflow
Who Should Read This
- Physician office staff
- Front-desk and scheduling personnel
- Practice managers
- Revenue cycle teams
- Medical billing staff
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