SOLVED2633

The step that was missed during the Scheduling and Registration process that created confusion for the patient was the insurance verification process. This process includes going over the patient’s insurance information and verifying all information. It also includes letting the patient know about any co-pay, or any other payments that may be needed. The importance of pre-authorization in the revenue cycle is to ensure that drug therapy is medically necessary, clinically appropriate, and aligns with evidence-based guidelines. In my opinion Erin should, calmly and respectfully help the patient understand, the mistake that had happened and why she is needing to pay a co-pay. Explain how sorry she is for the miscommunication. Explain fully the reasons why a co-pay is needed.
SCIENCE
HEALTH SCIENCE
NURSING

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