List the steps for filing a third-party claim


Problem

Part I

i. Describe the medical billing process and list the types of information contained in the patient's billing record.

ii. List the steps for filing a third-party claim.

iii. Explain how to submit health insurance claims, including electronic claims, to various third-party payers.

iv. Discuss methods of preventing the rejection of claims.

v. Discuss reasons for denied claims.

Part II

i. Describe the impact of the Truth in Lending Act on collections policies for patient accounts.

ii. Describe at least two successful collection techniques for patient accounts.

iii. Describe types of adjustments made to patient accounts, including a nonsufficient funds (NSF) check and collection agency transactions.

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