Question

Write a 1-2 page paper explaining how you would address the situation found in Workplace Applications on page 245 of your Study Guide.

Mr. Sanchez comes to the desk to check out after seeing the physician. When Brenda tells him that his bill is $95, he complains that he only saw the physician for 10 minutes. The fee is in accordance with evaluation and management guidelines. Explain the fees to Mr. Sanchez. Consider the following questions when writing your paper.

• Would you attempt to explain the fees to an upset patient at the checkout window?
• Would you take the patient into a more private area to discuss their concerns?
• Would you involve your manager?
• What does the patient really need to know about billing charges?
• What guidelines should you share? What should you not share?
• How can you dispel the anger a patient may feel?

Answer 1

The checkout window is secured one and it has patient data and payment model. controller server help to display only the particular amount being processed. The payment information should be given to the patient as a receipt, the patient then checkout. The change should meet the standard by medical pratice. If a bill sent out to the patient out of rules the bill may be denied to the physician office. this process involves receptionist, staff, medical biller and coder. The patient no needs any private places to discuss these issues. patient shuld know the evaluation and management guidelines and the process from apporintment, time slot, scdhedule, first visit. If the physician does not see the patient face to face the visit does not qualify for sharing. Front office staff collect patient insurance information, it helps for patient files and billing processes. The insurance company is limited with restrictions for health care plans for patients with pre-existing conditions. Medical billing and coding professionals ensure the patient eligible for health insurance.
Explain the patient about the claim in office setting E/M encounter, if the incident to requirement met the criteria the service must be reported as using non-physician practice.