Use this worksheet with your team to identify the current owner, missing information, and next action for each billing handoff. Print it to add notes, or bring a summary to your call with George.
The examples illustrate administrative workflows, not payer requirements or Bomi service commitments. Keep patient information in your own secure systems.
01
Which services and settings does the practice use?
List patient populations, service types, care settings, and software. Keep private-practice work separate from school or facility arrangements when describing your needs.
Example: Adult and pediatric office visits → record both; school-contracted services → list separately for review.
Record: Population / service / setting / software / billing arrangement
02
Who requests and tracks authorizations?
Separate request preparation, submission, status checks, and renewal planning. Record the clinical and administrative owner for each step.
Example: Clinician supplies requested information; designated staff submits the request and records the payer response.
How do visit counts and dates reach the scheduling team?
Identify where applicable approval dates and allowances are recorded and who reconciles them against completed visits. Define when the scheduler should ask for clarification.
Example: A new appointment would fall after a recorded approval period → scheduling asks the assigned owner to review the next step.
Record: Tracking location / count or dates / reconciliation owner / alert process
04
What changes between evaluation and ongoing-visit billing?
Map the billing information produced by the evaluation and what your process needs for later visits. Identify who handles missing or payer-requested documentation.
Example: Evaluation complete → documentation question assigned → response recorded → billing team checks readiness.
Who resolves payer requests and balance questions?
Group open work by missing information, payer response, or balance review. Assign a next action before sending questions to patients or families.
Example: A family asks about a balance → the designated owner reviews payment posting and the payer response first.
Record: Issue type / reviewer / next action / follow-up date
Start with a conversation
Let’s understand your practice.
Identify who owns the authorization and visit-tracking steps, where evaluation-to-treatment handoffs break down, and what needs review before support can be proposed.