Medical claim billing is a process of complete paper work submission and claiming by insurance companies for retrieving payments. This process generally followed by medical insurance companies which are private or government companies.
Medical claim billing process involves various types of activities but the main purpose of any medical claim billing company is to process super-bills and submitting medical claims to insurance companies in order to receive payments for their clients in a timely manner.
Once the procedure and diagnosis codes are determined, the medical biller will transmit the claim to the insurance company. Medical claim billing is usually done electronically by formatting the claim as an ANSI 837 file and using electronic data interchange to submit the claim file to the payer directly or via a clearing house.
To run a profitable medical business, hospitals and other health care facilities should follow an effective way of collecting reimbursement.
Medical claim billing process includes below steps:
Pre-certification & Insurance Verification Patient Demographic Entry CPT and ICD-9 Coding Charge Entry Claims Submission Payment Posting Account Receivables Follow-up Denial Management
Today, medical claim billing process is become one of the most important outsourcing services in the healthcare industries and across the world. This services booming day by day in many hospitals and practitioner to outsource their medical billing and reimbursement requirements to offshore facilities.
The concept of medical billing outsourcing was started from the requirements to get additional medical specialists to perform those secondary tasks apart from the primary medical tasks which are managed by the medical specialists from the medical institutions such as the hospitals, private clinics, nursing homes etc.
Outsourcing of medical billing service has been widely implemented in the medical industry today. Offshore Medical Billing has provided numerous medical health care and medical billing services. We also provides medical claim billing systems with more than 17 years of experience, specialized in services provided with Medicare and Medicaid.
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