Question

Why is it important for a practice administrator to know how third-party payers operate and to monitor changes in these operations.

Answer 1

Practice managers or administrators plan by establishing goal or objectives,Insurance company is generally termed as the third party.In this changing environment,revenue must be managed differently to ensure that the value delivered to patients is paid for appropriately both in terms of accuracy and timeliness.For the administrarors to ensure that the patient claimd are paid,they have to understand how the different components of claim management affect reimbursement.They have to involve themselves in understanding various components of the reimbursement and monitor changes regarding Pre-service,process of care,billing services and administrative services.if the practice administrator focus it on the above mentioned areas it will be helpful.