My OperaWhat Is Medical Billing And Coding?
Tuesday, February 28, 2012 10:59:21 AM
Medical billing and coding is the activity pertaining to proper medical bills classification, submission to patients and health insurance companies and finally bills collection.
The medical billing and coding professional is in charge of coordinating between the health care professional, patient and insurance companies to ensure that all billable items and charges are classified and billed accordingly. And the doctor or health care provider is paid for rendering service. Since this field focuses on financial aspects, it is considered a very important allied service of the the health care system.
The medical coding and billing practitioner coordinates between the health care provider and insurance company personnel to file claims using the appropriate medical coding for services rendered. There are times when insurance companies will deny the claim. When this happens it may take several more interactions between the medical biller and the insurance company staff or worse, if the problem isn’t resolved, then the patient will be required to shoulder the bill.
When does the medical process begin?
The medical billing process begins when the patient comes in either for the first check-up or an emergency. A medical record is established for the patient and it will include a history of everything that the patient goes through. The medical record will be kept open and updated until such time that the treatment is over, the insurance claim is filed, and the payment is received. Only then will the medical billing process for the patient be closed.
What is included in the medical billing?
The patient’s medical record is the basis for the medical billing. All medications, examination details and suggested treatments in the patients medical record will have a corresponding code in the medical billing. In fact it is the patient’s medical record that is forwarded to the medical billing and coding deparment for use as basis of medical bills.
The medical billing and coding professional is in charge of coordinating between the health care professional, patient and insurance companies to ensure that all billable items and charges are classified and billed accordingly. And the doctor or health care provider is paid for rendering service. Since this field focuses on financial aspects, it is considered a very important allied service of the the health care system.
The medical coding and billing practitioner coordinates between the health care provider and insurance company personnel to file claims using the appropriate medical coding for services rendered. There are times when insurance companies will deny the claim. When this happens it may take several more interactions between the medical biller and the insurance company staff or worse, if the problem isn’t resolved, then the patient will be required to shoulder the bill.
When does the medical process begin?
The medical billing process begins when the patient comes in either for the first check-up or an emergency. A medical record is established for the patient and it will include a history of everything that the patient goes through. The medical record will be kept open and updated until such time that the treatment is over, the insurance claim is filed, and the payment is received. Only then will the medical billing process for the patient be closed.
What is included in the medical billing?
The patient’s medical record is the basis for the medical billing. All medications, examination details and suggested treatments in the patients medical record will have a corresponding code in the medical billing. In fact it is the patient’s medical record that is forwarded to the medical billing and coding deparment for use as basis of medical bills.
