Even though inpatient billing is one of the most difficult and time-consuming processes, everything can usually be handled correctly. Instead of repeating each step anew, a claim is established when this happens.


Because of this, claims are paid now much faster, making the use of medical billing professionals crucial. But, unfortunately, some people believe they are experts when they’re not.


A medical inpatient billing procedure is complicated, so here are the six measures you should follow to ensure a smooth operation:


A patient’s check-in


A patient’s demographics and insurance information, such as the policy number and payer, should be recorded at the very beginning of the appointment at the very least.

When registering, patients are urged to provide relevant information regarding a claims process.


Verifying Insurance Eligibility


It is necessary to verify insurance information and eligibility even for regular patients before each appointment.


You should always check with patients to see whether their insurance information has changed before each visit.


Double-checking your insurance information is always a good idea because it can affect your benefits and authorizations.


Medical Coding of Diagnosis, Procedures, and Modifiers


Correct coding of claims is essential for alerting insurance payers about the specifics of the therapy the patient is receiving as well as the method of treatment. Remember to use the appropriate diagnosis and procedure codes when describing the patient’s symptoms or conditions.


Using CPT and HCPCS code modifiers will provide insurers with additional details about the service. As a result, they can make an informed judgment with access to the relevant codes and modifiers.


Charge Entry


When you enter the charges for services provided to the patient, that is how you do it.

Medical codes should also be related to the procedure or services performed at the patient’s visit in the charge entry.


Submitted Claims


Once the claim has been reviewed and approved by the insurance company, the claimant will make payment.


When deciding how and when to file a claim, medical billers need information about the insurance payer since there are so many variables to consider.


Payment Posting

When posting and depositing are performed during the last stage, the amount billed to the patient is zero if they have not already paid in full.

Otherwise, it may show the amount owed. The insurance company’s portion of the bill should have been included in this procedure phase.


Wrapping Up!


A healthcare provider must follow a set of six processes to bill patients. As soon as a patient walks into the office, the Inpatient Billing process begins. During the registration process, front desk employees gather essential information about the patient.


Nextus Billing Solutions experts convert a client’s data into uniformed codes for billing and collections. These medical codes are used to generate medical billing claims submitted to insurance companies for compensation.