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It is commonplace to find administrative duties shared by a number of specialists in the physician's office.
The primary goal of an insurance claims assistance professional (CAP) is to assit the consumer in obtaining maxiumum benefits and to tell the patient what checks to write to providers to make sure there are no overpayments.
Working in a physician's office as an insurance billing specialist carries greater responsibilities than operating a self-owned insurance billing business.
It is acceptable practice for medical office personnel to use a patient's first name when speaking to the patient about his or her insurance.
The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the physician.
The Centers for Medicare and Medicaid Services, formely known as the Health Care Financing Administration, adopted the Principles of Medical Ethics in 1980.
At certain times medical office staff members are allowed to make critical remarks about a physician to a patient.
It is illegal to report incorrect information to goverenment-funded programs such as Medicare, Medicaid, and TRICARE.
The title used for medical billing personnel may depend on the region of the United States where they work.
Medical billing employees should be able to perfom a variety of administrative duties pertaining to the business office.
Physicians are legally responsible for any actions of their employees performed within the context of their employment; therefore an employee cannot be sued or brought to trial.
Rules of etiquette for e-mail and cell telephone calls fall under the Health Insurance Portability and Accountability Act.
A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts.
In some states, giving an insured client advice on purchase or discontinuance of insuracne policies is construed as being an insurance agent.
An insurance billing specialist uses general skills in following an employer's established policies when dealing with the health care contract.
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