The purpose of medical billing is to determine what services and/or treatments a patient was provided with, and to establish the cost of the treatment. By verifying the accurate amount of payments made by insurance companies to health care providers, medical billing helps determine the balance between these expenses as well as the total cost of care.
While most people may associate medical billing with insurance companies, the task of medical billing can be assigned by physicians, hospitals, and private companies, as well. Such cases are many, and include individuals, employers, and private health insurance companies. Regardless of who is responsible for the assignment of benefits, it is important to keep in mind that medical assignments involve all types of billing tasks.
A typical assignment of benefits work requires information about a medical bill. In the case of a medical bill, this might be a client’s insurance policy, or medical bill itself. Many physicians charge a service fee when they complete assignments; some, however, have agreements with other third parties, such as private insurance companies, to get more information about a medical bill.
An assignment of benefits will require that the patient submit evidence of his or her medical condition, as well as medical documentation of his or her claim. For many assignments, the patient’s bills and related documents must be submitted via fax, mail, email, or online billing software. The documents may also be submitted through the office’s online billing system.
The next step is to prepare the original assignment of benefits forms. If the patient has been billed by an insurance company, there is an agreement between the insurance company and the patient, which are usually incorporated into the original written assignment of benefits. The assignment of benefits, however, is just one part of the complete assignment of benefits process. Medical assignments do not necessarily have to be used by all insurance companies; some contracts will require that assignments of benefits be used exclusively by individual health insurance companies.
The physician in charge of assigning the assignment of benefits has many tasks to complete. For example, if the physician expects to receive further fees from the patient for giving him or her advice on the assignment of benefits, he or she will have to give this to the patient prior to performing the assignment.
The assignment of benefits is only the first step in the medical billing process. After the assignment of benefits, the process of researching, validating, and writing a claim will begin.
The doctor or medical professional writing the assignment of benefits will need to be aware of the different types of medical claims, as well as how to perform their own procedures, and how to interpret various medical claims. Another aspect of the assignment of benefits is knowing how to handle the patient’s medical history, as well as whether or not they are likely to be eligible for medical assistance from another source.
The assignment of benefits can be completed by either the physician or the patient. There are, however, certain procedures, which only the patient can handle, such as following up on a patient’s medical claims.
An assignment of benefits must be completed within 30 days. During this time, the physician or medical professional must perform the necessary tasks associated with the assignment of benefits. Although it is the patient’s responsibility to provide documentation, they are not required to provide the appropriate documentation to justify the billings.
An assignment of benefits is only one of the responsibilities involved in the process of medical billing. It is important to keep in mind that there are many additional responsibilities associated with the medical bills that do not relate to assigning benefits. assignments, such as creating a Medical Billing Confidentiality Agreement (MBCA), keeping records up to date, and accurate, and researching information, as well as keeping a file of pertinent information on all patients.