{"id":3268,"date":"2013-12-11T12:25:07","date_gmt":"2013-12-11T12:25:07","guid":{"rendered":"http:\/\/www.medicalbillersandcodersblog.com\/?p=3268"},"modified":"2025-05-22T09:49:25","modified_gmt":"2025-05-22T09:49:25","slug":"checking-patient-eligibility-while-medical-billing-to-ensure-future-payments","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/checking-patient-eligibility-while-medical-billing-to-ensure-future-payments\/","title":{"rendered":"Checking Patient Eligibility While Medical Billing to Ensure Future Payments"},"content":{"rendered":"

Medical billing forms the backbone of healthcare revenue and profitability and is as crucial a process for care providers as are medical procedures. With government regulations becoming increasingly stringent and complicated coding and billing guidelines getting introduced every year, medical practitioners are facing dwindling revenues despite heavy inflow of patients.<\/p>\n

Clearly, the gap in service and payout is being created and widened at the point of billing. To ensure regular payments for medical services rendered, it is important that care providers start checking patient eligibility for medical transactions.<\/p>\n

Checking patient eligibility during medical billing companies<\/a> process comprises of the following steps \u2013<\/p>\n\n\n\n
Patient responsibility – pre billing<\/td>\n><\/td>\nDocumentation check<\/td>\n><\/td>\nInsurance coverage check<\/td>\n><\/td>\nPre-authorization and referrals<\/td>\n><\/td>\nClaim, deductibles & reimbursement<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n