Learning Outcomes
After studying this chapter, you should be able to:
Explain the method used to classify patients as new or established. |
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Describe the information that new and returning patients provide before their encounters. |
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Discuss the purpose of the Assignment of Benefits. |
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Explain the purpose of the HIPAA Acknowledgment of Receipt of Notice of Privacy Practices. |
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Describe the procedures for verifying patients’ eligibility for insurance benefits and for requesting referral or preauthorization approval. |
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Explain how to determine the primary insurance for patients who have more than one health plan. |
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Discuss the use and typical formats of encounter forms. |
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List the four types of charges that are collected from patients at the time of service. |
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Describe the billing procedures and transactions that follow patients’ encounters. |
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Explain the importance of communication skills in working with patients, payers, and providers. |