Patient Encounters and Billing Information

Healthcare is business

The financial health of a practice depends on billing and collecting fees for services.

Regular cash flow

Monies moving in and out of the business must be maintained.

Standardized information gathering

A process that assists in the success of the practice through uniformity in procedures.

New Patients

Patients who have not received professional services from the physician or another physician in the group in the past three years.

Established Patients

Patients who have received services from the same physician or a different physician in the same specialty within the past three years.

Preregistration and scheduling information

Key information required for new patients to prepare for their visit.

Medical history

A record of the patient's prior health conditions and treatments.

Patient/guarantor data

Information about the individual responsible for medical bills, including their insurance details.

Assignment of benefits

A process where a patient assigns their insurance benefits to a healthcare provider.

Acknowledgment of Receipt of Notice of Privacy Practices

A document that patients sign to confirm they understand how their health information may be used.

Eligibility verification

The process of confirming a patient's insurance coverage before treatment.

Preauthorization

Approval from a health insurer that is required before a patient can receive certain medical services.

Referral

A process through which a patient's care is transferred from one