Medical billing services involve creating claims for healthcare services, which are then submitted to insurance companies to receive payment.
Medical billing services involve creating claims for healthcare services, which are then submitted to insurance companies to receive payment. Once a healthcare service is turned into a medical billing claim, the medical biller tracks the progress to make sure the organisation gets paid for the services provided. An experienced medical biller can help maximise revenue for physician practices and healthcare organisations.
Whenever a patient visits a healthcare provider for treatment, a medical record is created. Medical coders go through the medical record and extract information that can be billed. Medical coders then convert them into standardised codes. Procedure codes, such as CPT®, HCPCS Level II, or ICD 10 PCS, communicate to the payer the specific service the healthcare provider delivered. On the other hand, diagnosis codes, reported using the ICD-10-CM code set, inform the payer about the reason the patient required those services. Read More...