Richard Soper on Timely Payments for Physicians


Ever since I became a physician, I, Richard Soper, know very well that reimbursement for the health care system in the United States is very complicated. There are federal payers, state/federal payers, private for-profit insurance companies, non-profit insurers, and private insurance companies. The complexity comes with costs. Both hospitals and physicians are required to hire people just to process all those different payers. Recent studies show that payers more often reject the bills submitted to them by the physicians’ offices.

Just like medical coding, medical billing seems large and complicated. Eight steps, which include the following: patient registration, confirmation of the financial responsibility, patient check-in and check-out, checking for coding and billing compliance, preparing and transmitting claims, monitoring payer adjudication, generating patient statements o bills, and assigning patient payments and arranging collections, comprise this billing process.  Whenever a patient is delinquent in their pay, it is the biller's responsibility to reimburse for the services provided by the healthcare provider. The billers should be the one to contact the patient directly, send follow-up bills, or enlist a collection agency since these are not and should not be the work of physicians. 

Up to now, I, Richard Soper, believe that this dilemma of receiving payment for their services has been a burden for physicians' offices. Responding to payment denials costs effort and money. Physicians are also sometimes required to take time away from patient care to explain why they indicated specific services. To make things worse for clinicians, even when state/federal payers do reimburse for physician services, it takes longer than usual. 

People from the United States of America deserve fair health care coverage, whether from private or public insurance agencies. However, it is only just and equitable that American physicians also get timely payment when they provide needed healthcare services to their patients.

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