What Is Medical Billing?

Friday, July 10, 2009 ·

Medical Billing has turned around in a big way nowadays. There was a time when the patient used to go to doctor, get the treatment for any ailment and pay the doctor’s bill. Until few years back, medical insurance was significantly complicated; it was a rare event, the doctor had to raise the paper bill towards his treatment charges and submit it to the private, Medicare or Medicaid insurance provider. We are much aware of the fact that such paper bills could get lost very easily. Anyways, those days are history now, yet there are a few doctors who still believe in the orthodox procedures and use paper bills for their treatment charges. Most of the doctors have today started using the latest technologies and begun raising electronic Medical Bills to their patients for the treatments provided by them.

Electronic Medical Billing is a paperless billing process; wherein the bill is printed out after making the entries related to the patient’s treatment in the computer system and handed over to the patient by his doctor. Such electronic Medical Billing incorporates all the related information like, the insurance provider’s data, your detailed treatment charges, medicines and other incidental expenses incurred by the clinic while extending your treatments. All these information are essential for claiming the medical expenses incurred by the clinic, from the patient’s medical insurance providers.

The electronic Medical Billing is usually prepared by entering all the necessary data in the computer system with the help of the specialized Medical Billing software program and the fed information is then electronically submitted to the carrier by means of a device called a modem. The modem is such an electronic device that uses the telephone line for transmitting the received information just like that of a fax machine. In the fax machine, a piece of prepared document or the Medical Bill is inserted in the unit. Its copy is electronically prepared and transmitted through the connected telephone line to the remote fax machine held by the insurance provider and prints out the identical copy of the document at that end. But in case of the electronic Medical Billing, there is no requirement of paper at all. The particular information is typed out into the computer system and thereafter the installed software takes those data itself for transmitting them over to the carrier via modem.

Such data are mostly sent in some specific format so that the carrier is able to read the data properly. This sort of typical format is known as NSF format that has been standardized by all such carriers. However, specific computer program is required to be made for each individual carrier as in spite of the standards formats, its not necessary that every carrier uses every field in the format. Due to this when specific fields are transmitted which the carrier is not using, the claim may get rejected by the carrier.

Medical Billing Services: In reality, the Medical Billing Service has to be far more competent and effectual when compared with your own office system. The Medical Billing Services providers should let you and your people highlight on practicing medicines. In Medical Billing Service providing companies like Preferred Health Resources, account executives have the average of 8 years experience in Medical Billing sectors. Due to their knowledge, ability as well as the devoted follow-up, the company has resulted in their adjustment ratios every time as low as merely 12% with the Medicare.

Medical Billing System: There are very few genuinely organized companies providing Medical Billing System service in the United States; like the American Billing Systems. This company in particular is said to have spent hundreds of thousands of dollars for developing and building the latest technology which permits you to process all your medical claims online over the internet through any computers at any time literally 24x7. this is the company holding national license and offers the complete business system to the entrepreneurs. With the help of such license one can really operate his business literally from home offering professional Medical Billing Systems and automated cash-flow management services to the medical providers and general businessmen.

Medical Billing Education: In the common definition, it could be defined that the Medical Billing is the process of sending detailed accounts to the customers or clients for the goods consumed and the medical services provided to him. The document having all such data is better known as the Invoice. The invoices in general describes the accounted amount is receivable or already received by the drawer. Proper education for preparing the Medical Billing is necessary for getting the insurance claim processed well in time.

Medical Billing Companies: There are many companies having specialization in the fields of Medical Billings. Such companies usually offer their valued services for getting you the detailed Medical Billing towards the medical services taken by you during your ailment at a particular clinic or with the doctor. There are some companies like Vision Healthcare who have been serving as much as 38 medical specialties in 40 different states and having expertise in over 15 hospitals as well as Medical Billing systems.

Medical Electronic Billing: The Medical Electronic Billing is widely prepared by entering all the required information to the computer system that has the software program for preparing such Electronic Medical Billings. The latest software developed for such Electronic Medical Billing generally incorporates various features of functions like: tracking the demographics, doctor’s visits and diagnoses of the patients; collecting – transmitting as well as tracking all the billing information and insurance payments; managing the appointment schedules and generating the varieties of detailed reports.

Medical Electronic Specialists: We may find many Medical Electronic Specialists for providing different medical services. The various services offered by such specialists usually include: the fastest reimbursements of your medical claims, billing to the government carriers and inquire for its details, the claims edited for better quality, quality customer services, reduction of the current internal billing costing, complete insurance follow-up, specialty report for doctor’s practice and follow through collection for them who want such services.

There are some more features worth considering in the Medical Billing features like: the Medical Billing Codes, Medical Billing Business and Medical Billing Processes.

The author is webmaster of http://www.medibil.com which is an information portal. medibil.com offers quality information on topics like medical billing, medical coding, medical claims, medical transcription and Insurance.

Article Source: http://EzineArticles.com

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