CMAA Patient Check-In and Financial Responsibilities

Patient Check-In Process

  • First impressions matter; CMAA's demeanor influences patient relationships.

  • Verify during check-in:

    • Patient's identity and demographics.

    • Insurance coverage (primary, secondary, tertiary).

    • Provider's participation in insurance plan.

Demographic Information

  • Collect and confirm:

    • Contact details.

    • Insurance specifics (cards, photo ID).

  • Update information especially for long-unseen patients.

Coordination of Benefits (COB)

  • Determine order of insurance payment.

  • Address financial responsibility with patient through open communication.

Patient Communication

  • Accommodate diverse patient needs (visual/hearing, language).

  • Use technology for check-ins to streamline processes.

  • Provide a professional atmosphere for various patient conditions.

Telehealth Appointments

  • Familiarity with tech (internet, devices) critical for patient engagement.

  • Educate patients on the telehealth process and troubleshooting steps.

CMAA Responsibilities

  • Collect and update patient demographic info accurately.

  • Handle communications (calls, emails, patient portal queries).

  • Review and inform patients of financial obligations (copayment, deductible).

Claims and Financial Responsibilities

  • Understand patient financial responsibility and generate clean claims.

  • Familiarity with billing codes (ICD-10-CM, CPT, HCPCS).

  • Complete necessary forms (assignment of benefits, notices of privacy practices).

Documentation and Follow-up

  • Ensure accurate patient records are maintained.

  • Utilize encounter forms for billing and patient history.

  • Review after-visit summary, schedule future appointments, and handle patient inquiries.