Medical Billing:
Medical billing and coding is the process of following claims and submitting to the insurance company in order to receive payment for services rendered by a healthcare provider. It’s the interaction between health care provider and insurance company. Medical Billing companies providing the best service for the clients and end user.
Pre-certification & Insurance Verification:
The copy of the insurance and the patient list are to be sent via email or secure FTP. Every billing specialist should call up the insurance company, Pre-certification is done for specific lab tests, diagnostic tests and surgeries, these all format are send in the prior format.
Patient Demographic Entry:
The medical billing specialists will have to look upon the demographic details at the time of visit, for the patient validate changes are noted and formatted in the list.
Claims Submission:
With the help of practice management system the claims have to be submitted electronically, sometime the paper claim also to be done quality check is done by a senior billing specialist and then submitted. If any necessary changes it is analyzed and resubmitted.
Denial Management:
Analysis of denials and partial payments is done by our senior medical billing specialists. Payors, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system.
Medical billing and coding is the process of following claims and submitting to the insurance company in order to receive payment for services rendered by a healthcare provider. It’s the interaction between health care provider and insurance company. Medical Billing companies providing the best service for the clients and end user.
Pre-certification & Insurance Verification:
The copy of the insurance and the patient list are to be sent via email or secure FTP. Every billing specialist should call up the insurance company, Pre-certification is done for specific lab tests, diagnostic tests and surgeries, these all format are send in the prior format.
Patient Demographic Entry:
The medical billing specialists will have to look upon the demographic details at the time of visit, for the patient validate changes are noted and formatted in the list.
Claims Submission:
With the help of practice management system the claims have to be submitted electronically, sometime the paper claim also to be done quality check is done by a senior billing specialist and then submitted. If any necessary changes it is analyzed and resubmitted.
Denial Management:
Analysis of denials and partial payments is done by our senior medical billing specialists. Payors, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system.
2 comments:
Thanks for your valuable post.Quite informative blog.Professional medical coders and billers have a responsibility to verify patient’s eligibility. It is most important medical procedure performed by them. Healthcare Eligibility validation is the process of verifying the authentication of insurance details provided by patients and also insurance coverage amount. Check out link to know more.
I have gone through your post. Quite informative.Thanks for sharing it.When physician outsource their coding work to medical coding service company ,they benefited from clean bills and claims at the minim turnaround time and also they will be benefit from improved revenue.
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