Posted in Insurance

Practice/Patient Financial Responsibility Policy

Having a Practice/Patient Financial Responsibility Policy for your patients, increases your chances of collecting anything that is owned at the time of services rendered. It decreases the number of time and money spent by your practice on contacting/generating patient statements. Not to mention it builds a better relationship between your practice and your patients.

Posted in Insurance, Training, Updates

Importance of a trained Front Office Staff-avoid unnecessary claim denials & negative reviews.

It is extremely important to properly train your FRONT DESK STAFF on verifying eligibility and conducting benefits investigation for patients.

Increasing the “clean claim” submission reduces your rejection and denial numbers= increase your revenue for the practice!

The other important aspect of training the FRONT DESK STAFF is customer service. Yes, a lot of times patients give the negative reviews based on how they were treated by the FRONT DESK STAFF.

Negative reviews potentially leads to less patients for your practice.

If you would like to find out more about training your FRONT STAFF on either checking patients eligibility, customer services skills, or how to verify properly benefits for your patients, please feel free to book 1-Hour Consulting/Training Session . If you would like to find out more information about my training/consulting services, please feel free to reach out to me via email: kr2medicalbilling@gmail.com (Subject Consulting Questions).

Posted in Insurance

What is an EOB?….a scary monster?…LOL

Everyday I receive at least 10 phone calls from patients freaking out about a “bill” they received from their insurance company. No it is not a “bill” just an EOB.

What is an EOB? EOB stands for Explanatiin of benefits. Its a piece of paper or papers that have a couple of components to it.

Fist listed is the DOS (date of service or visit). Then the codes that your provider has billed or submitted to your insurance company. Next is the POS (place of service). So far so good, right…you still with me?…Yes?..OK. Now come the billed charges-the amount that your provider billed your insurance company. Then the allowed charges-what your insurance will pay. Next column will show any amount that will go towards you deductible or coinsurance – this is your responsability and you have to pay that given amount to the provider. Then you will see the non covered changes- self explanatory. You still following me?…OK. we are almost at the end….LOL

There are also the numerical expalantion codes (reason codes)-explaining why this was paid and why not. Last but not least is the column of paid amount: the amount that was paid to your provider for the services billed.

Please remember that it is NOT a BILL….only an explanation of your benefits that you would receive after your provider submits a claim to your insurance company.

I hope this will help you in understanding about EOB. If you do have any other further questions please feel free to contact me via email or my contact form on my page and I will be glad to assist you. (You will receive an answer within 1 business day)