Medical Billing Information FAQs

This document provides sample language to answer frequently asked questions patients may have about billing, including definitions of key terms. STD TAC

Intake Forms

These documents provide sample language to answer frequently asked questions patients may have about billing, including definitions of key terms. English and Spanish versions available. STD TAC Click here

Privacy Practices

Notice of Privacy Practices for Protected Health Information

Provides a summary and background on privacy rules. Department of Health and Human Services Click here

Model Notices of Privacy Practices

Model NPP templates to help improve patient experience and understanding. These models use plain language and approachable designs. Department of Health and Human Services Click here

Consent for Services

A sample patient consent form and acknowledgement of privacy practices document. STD TAC Click here

Insurance Verification

Sample tool for tracking insurance verification calls. STD TAC Click here

Eligibility and Income Verification

This income verification form from Bridgercare can be used as a sample to determine patient eligibility and verify income. Click here

Module 2: Developing Billing Systems – Patient Communication and Form Templates