Write a proposal for changes you would like to make to the billing policies and procedures for a physicians’ clinic. Include all of the following in your proposal: Explain how the proposed changes will benefit the patients, physicians, and the clinic. Develop a step-by-step process for the entire revenue cycle, from preverification of insurance to accounts receivable management. Recommend a method for determining a pricing structure. Be sure to consider the factors that influence pricing. Explain the factors to be considered when negotiating insurance contracts. Determine the major payer categories appropriate for this practice. Explain how the clinic will handle private pay and charity care. The discussion in this unit will help you with writing this portion of your proposal. Recommend an installed or a web-based billing software system. Do not recommend a specific software brand, just the type of software needed.
