Medicare Compliance & Reimbursement - 2007 Issue 15
PART B REVENUE BOOSTER: Your Front Desk Is On The Front Lines Of Capturing Reimbursement
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Article Overview
This article discusses how medical practices can strengthen reimbursement by improving front-desk intake, insurance verification, document collection, and back-office coding review processes. It is aimed at practice managers, front-desk staff, billers, and coding staff who want a general overview of workflow and audit practices that affect claim completeness and revenue capture. The piece also touches on diagnosis-to-procedure linkage and the role of concurrent claim review in identifying missing or unsupported services.
Why This Topic Matters
Accurate intake and coding workflows can affect whether claims are complete, supported, and ready for submission. The article is relevant for organizations looking to improve coordination between patient registration, coding, and billing functions.
Article Sections
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Front-desk intake and insurance verification
Covers initial patient-contact workflow, including collecting and confirming insurance and eligibility-related information. It also addresses general intake documentation practices for claims that may involve special payer considerations.
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Back-office coding review and diagnosis linkage
Discusses coordination between coding staff and claim preparation, with attention to matching diagnoses and procedures. The section also references review of multiple diagnoses for patients with complex or chronic conditions.
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Concurrent auditing
Describes a pre-submission review approach focused on claim completeness and documentation support. It emphasizes internal review as part of the revenue cycle process.
What You Will Learn
- How front-desk information collection can support claim preparation
- Why insurance verification is part of revenue-focused intake
- How coding and documentation workflows interact in claim processing
- What a concurrent audit is in the context of pre-submission claim review
- How practices can use internal review processes to support revenue capture
Who Should Read This
- Practice managers
- Front-desk staff
- Medical billers
- Medical coders
- Revenue cycle staff
- Physician office administrators
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