The process of medical billing involves the collection, compiling, and submission of patient bills and claims. A medical bill is called a claim and includes information regarding the patient’s insurance coverage, demographics, and any procedures that were performed during the visit. It can be a time-consuming task, but if you know what you’re doing and get help from nationwide medical billing it will be easier.
In order to process claims, patients must submit their insurance information and authorization for a medical procedure. The back-end billing process is essential to determine the maximum number of visits and the responsibility of the patient. Once the insurance process is complete, the revenue cycle shifts to the collections process.
In the meantime, the biller is left with the task of converting coded procedures into the proper format. It can also be helpful to make sure the patient has enough money to pay the bill.
The process begins when the patient registers or makes an appointment. During check-in, the biller and patient financial services staff will verify the information on the patient. They will collect co-payments and other financial responsibilities from the patient.
During check-out, the biller will check whether the provider’s services are covered by the patient’s health insurance plan. Before the biller can submit the payment, the patient will need to submit prior authorizations, which require a signed contract from the payer. If you’re looking for someone to do your medical billing get in contact with nationwide medical billing today.