E/M Coding Alert - 2016 Issue 6
Part B Revenue Booster: "Has Your Insurance Information Changed?" May Be the Wrong Question to Ask Patients
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Article Overview
This billing and revenue-cycle article focuses on practical office workflow issues that can affect claim processing, with emphasis on patient registration accuracy and accounts receivable monitoring. It is relevant to practice managers, billers, coders, and revenue-cycle staff who want to understand common sources of denials and general approaches to identifying and tracking unresolved claims. The guidance is presented at a high level and centers on improving information capture, verifying coverage details, and reviewing aging receivables.
Why This Topic Matters
Small registration and follow-up errors can create avoidable denials, delayed payments, and unresolved claims. Understanding the article helps billing staff evaluate front-desk verification practices and A/R review routines.
Article Sections
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Patient registration and insurance verification
This section discusses the role of intake and registration workflows in reducing claim problems. It covers broad approaches to confirming patient information and coverage details before services are billed.
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Perform A/R Aging Reports
This section addresses accounts receivable monitoring and claim follow-up. It explains the general purpose of aging reports and routine review of unresolved payer activity.
What You Will Learn
- How registration workflows can affect claim processing
- Why routine verification of patient and coverage information matters
- What an accounts receivable aging report is used for in billing follow-up
- How practices can monitor unresolved claims at a high level
Who Should Read This
- Medical billers
- Practice managers
- Revenue cycle staff
- Front-desk registration staff
- Coding professionals
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