Select a local biller from a pharmacy, dental clinic, extended care facility, or other health care organization that deals with both private pay and government insurance. Conduct an interview to review the process the biller/benefits coordinator uses to satisfy reimbursement requirements for billing purposes. Review the assignment questions below to assist in developing questions for the interview.
Write a paper (500-750 words) that describes the processes used in producing a final bill. Include your interview questions and responses with your paper. Answer the following questions in your discussion:
- Who did you interview? Where do they work? What is their role/title?
- What is the difference in reimbursement between paying with cash, third-party insurance, and Medicare or Medicaid?
- What role does charge and pricing for services have in different settings within the health care industry based upon type of insurance coverage a patient possesses?
- How do private and government insurers and payers impact actual reimbursement? How do they impact payment for services and methods of payment?