by
Jack M
Patterson
Medical billing is the business of submitting and following
up on claims to insurance companies so that doctors can receive
payment for their services. This is the process utilized by most
insurance companies, both government-owned and privately-owned.
The actual billing process will take place between a healthcare
provider and the insurance company, who is actually making the
payment.
The patient's medical record is updated after
an in-office
visit and contains a summary of all treatment, diagnosis and
demographic information. The level of service will be determined
by staff and then translated into a five-digit procedure and
numerical code. The biller then transmits the claim to the
insurance company. (In the past, paper forms were mailed; now
this process is mostly handled electronically.)
The insurance
company then processes the claim, if its medical directors
review the claims favorably and can evaluate their validity.
Approved claims will be reimbursed for a certain percentage of
the billed services as stated in the contract between insurance
company and the insured.
There are numerous companies that offer medical billing
services. What are the most important factors in choosing one?
Knowledge and experience in the healthcare industry is
important, as is training in administrative experience. This may
include training in Revenue Cycle Management, which aims to
ensure the highest reimbursements possible.
Technology is
another important factor in choosing the best medical billing
service provider, and some companies will highlight their
state-of-the-art medical records system that makes billing and
scheduling easy. Some of these medical billing companies may
focus in certain areas of practice such as orthopedics,
neurology, rehabilitation or pain management.
If you are interesting in medical billing
as either a health
care practitioner or as a possible career, contact http://www.GRMed.com.
This company has over 65 years of combined experience and has
been involved with medical billing for over a decade.
GRMed is an experienced and trusted
medical billing service provider.
For more information about their history and their services,
visit GRMed.com.
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