Description
This Point of Service Collections course explains the importance of collecting payment at the point of service or prior to service. We will review insurance terminology, plan designs, networks, and benefits. This course is designed to enhance your skills when collecting upfront payments and explaining the patient’s financial responsibility.
Objectives:
Lesson 1
- Recognize the importance of up-front collections
- Recognize terms such as co-pay, deductible, co-insurance, and out-of-pocket maximum
Lesson 2
- Learn effective methods to collect money from patients
- Demonstrate ability to calculate the estimated amount due from patients
Topics Covered: point of service collections, POS collections, upfront collections, patient financial responsibility, patient access collections, collecting patient payments, patient payment conversations, financial conversations with patients, compassionate collections, patient financial care, healthcare upfront payment collection, patient cost estimates, estimating patient responsibility, explaining patient responsibility, collecting copayments, collecting deductibles, collecting coinsurance, out-of-pocket maximum education, OOP maximum, insurance coverage and benefits, covered benefits, non-covered benefits, in-network benefits, out-of-network benefits, out-of-network patient responsibility, out-of-network coverage limitations, contracted providers, participating providers, non-contracted providers, non-participating providers, Real-Time Eligibility, RTE, insurance eligibility verification, eligibility response review, copayment verification, deductible verification, coinsurance verification, out-of-pocket maximum verification, coverage and benefit verification, allowed amount, billed charge versus allowed amount, contractual allowed amount, individual deductible, family deductible, deductible remaining, deductible met, family deductible met, copayment definition, deductible definition, coinsurance definition, out-of-pocket maximum definition, preventive services and deductible rules, wellness services coverage, high deductible health plans, patient as payer, patient out-of-pocket costs, patient balance calculation, patient estimate calculation, allowed amount calculation, deductible plus coinsurance calculation, coinsurance after deductible, payment before service, payment at time of service, scheduled procedure collections, emergency department copayment collection, ED financial conversations, financial discussions in emergency care, screening and stabilization before collection, payment options, payment by phone, payment at registration desk, credit card payment, check payment, cash payment, payment plan documentation, documenting payment arrangements, account notes for payment plan, explaining estimates in plain language, showing the math to patients, asking for payment professionally, direct eye contact when requesting payment, courteous payment request, professional payment request, empathetic financial communication, confidence with compassion, patient anxiety about cost, responding to patient financial concerns, acknowledging patient cost concerns, offering payment options, inviting patient questions, avoiding billing confusion, improving patient financial experience, patient access revenue cycle training, patient access financial communication, healthcare revenue cycle collections, outpatient procedure payment estimates, EGD cost estimate, MRI cost estimate, CT scan cost estimate, stress test cost estimate, outpatient surgery cost estimate, knee procedure estimate, out-of-network surgery estimate, No Surprises Act context, surprise medical bill awareness, point of service collections course content
AHIMA This program has been approved for 1 continuing education unit for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Revenue Cycle Management
It would be nice to have the case studies “joey has ….” this effects his deductible by in writing on powerpoint slide because some people learn by reading and listening not just listening.
Thank you for making this easy to navigate and understand. I have tried many ways to understand my job and you have made it so much easier. Thank you for making me a better medical receptionist!
I appreciated the formulas and case studies for calculating payments.