The Medical Billing Insurance Claims Process begins with the initial paperwork of patient’s insurance. Once that’s done, the next step involves the patient visit, where the doctor (also known as the provider in the medical billing term) diagnoses a patient and then documents all the services. This encounter of a patient with the provider then becomes billable, converting it into a claim and later submitted to the front office for Medical billing claims process.
The documentation or a medical report from the physician involves all the information that the physician feels is essential and relevant to the patient’s care such as, the reason for the appointment and admission, type of a procedure done, and any other essential information.
Nowadays, most of the providers are moving toward preparing documentation using electronic health record instead of conventional handwritten paper format. The information in an EHR is much easier to read and understand than handwriting. So, you need to enter all collected information at check-in as well as the doctor’s documentation related to the patient by using the correct CPT and ICD codes into the medical billing software.
Therefore, by taking into account of Medical Billing Insurance Claims Process, we are highlighting the following key steps:
Needful information regarding the patient is entered into medical billing software, including patient demographics, payer, and financial guarantor information.
Based on the physician’s documentation, the billable codes are entered.
Select the appropriate claim form in medical billing software, and then enter needful information using Current Procedural Terminology (CPT) codes.
Then the International Codes for Diseases ICD-10 (for the diagnosis) are appropriately entered and pointers assigned to the correlating CPT’s.
Before submitting the coded information, it is always better to have another teammate to double check the bill and review any coding or demographic errors to keep it as ‘clean’ as possible.
Finally, send the Medical billing claims off for processing.
In the Medical Billing Insurance Claims Process, medical bills are electronically uploaded to a medical clearinghouse and later sent to a suitable payer. But in few cases, claims can also be sent directly to the payer.
Should you consider Outsourcing your Medical Claims Billing?
If your practice gets stuck with any issue of Medical Billing Insurance Claims Process, you should definitely consider outsourcing Medical Claims Billing work to Bikham Healthcare. Our experienced medical practice consultants & Billers are known for delivering world-class medical billing and coding services, especially in Medical Billing Insurance Claims Process.
Our qualified and skilled medical claims specialists provide end-to-end medical claims billing services to the healthcare practices of all specialties and sizes. They can develop outstanding efficiencies in the Medical Billing Insurance Claims Process and will also ensure a continuous growth in the revenue of your practice.
So look no further! Take your practice to new heights by partnering with one of the best and trusted medical billing & collection partner – Bikham Healthcare.
To know more talk to our medical billing specialists or email. You can also visit our website Bikham dot com and follow us on Google Plus, Pinterest, Facebook, Twitter YouTube and LinkedIn for latest Medical Billing and Coding blog.
