Accounts Receivable


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Questions regarding the following matters may best be directed to our Accounts Receivable Department:

Monthly client ledger billing

Private medical insurance

Medicare insurance

Medi-Cal / Medicaid insurance

Please examine the categories listed below so that you may become familiar with the information needed to provide accurate, efficient and problem-free handling of all billing activity:


BILL PHYSICIAN


Check "Bill Physician" on the test request form in the appropriate section. Print the patient's name, age and/or date of birth and sex where indicated. All other information is desired, but not required for this bill type. Please note that if no other bill type is specified, Bill Physician is assumed by default.


BILL MEDI-CAL / MEDICAID


Check "Bill Medi-Cal" and provide the following required information:

1. Full and complete name of the patient.
2. Address of the patient.
3. Proof of eligibility in the form of a photocopy of the patient's ID card for the current month or, where applicable, a Proof of Eligibility (POE) sticker from the current month's ID card.
4. Date of birth of the patient.

BILL MEDICARE


Check "Bill Medicare" and provide the following required information:

1. Full and complete name of the patient.
2. Address of the patient.
3. Medicare number.
4. Patient's date of birth
5. For testing not covered by Medicare, please have patient sign acknowledgment that patient billing will be required for such services.

Medicare now requires diagnosis (or ICD-9-CM codes) for the following tests:

• Carcinoembryonic antigen (CEA)
• Complete Blood Count (CBC)
• HIV-1/2 antibodies
• Lipid profiles (cholesterol, triglycerides, HDL, LDL cholesterols, etc)
• Pap smear
• Prostate-specific antigen (PSA)
• Rapid plasma reagin (RPR) syphilis serology
• Thyroid profiles (thyroxine, t-uptake, TSH, total triiodothyronine, etc.)

Medicare continues to expand the categories for which diagnoses are required and your assistance in providing this information on requests greatly reduces our need to interfere with your office time to provide this at a later date.


MEDICARE / MEDI-CAL COMBINED BILLING


This category applies to all patients who have a Medi-Cal number in which the aid number is between 10 and 20, or where the age of the patient is over 65, or, effective July 1, 1973 is totally disabled.

Check both "Bill Medicare" and "Bill Medi-Cal" on the request form and provide the following required information:

1. Full and complete name of the patient.
2. Address of the patient.
3. Patient's date of birth.
4. Proof of eligibility in the form of a photocopy of the ID card for the current month or, where applicable, a Proof of Eligibility (POE) sticker from the current month's ID card.

Please see the list of required diagnoses above, which also pertain to this billing type.


PRIVATE INSURANCE


Check "Insurance" on the request form and provide the following information:

1. Full and complete name of patient.
2. Address of patient
3. Information in "BILLING INFORMATION" square in lower right-hand corner of request form, or, alternatively,
4. Diagnoses of patient for this encounter
5. Photocopy of insurance card including:
6. Primary policy holder's full name
7. Certificate number or Social Security Number of primary insured
8. Relationship of patient to primary policy holder
9. Insurance company's name and address
10. Group or policy number