With the increasing reimbursement pressures in the healthcare industry, the need for highly trained and skilled medical billing Service Locations – eMed Partners professionals is growing. These professionals must understand medical insurance and reimbursement methodologies, and the claims process.
What are billing methods?
They need to know how to read medical records and interpret CPT(r), HCPCS Level II, and ICD-10 codes. They also need to know how to enter and code charges.
The first step in the medical billing process is to collect the patient’s demographic and insurance information. This data is then used to verify eligibility and benefits for the services.
At this point, staff must determine the patient’s financial responsibility, which includes copays and deductibles. In addition, they must add any outstanding balances to the billing report.
Once the billing report is completed, the biller will submit the claim to the insurance carrier or other payer. Typically, the billing company does this within days of the visit.
If a claim is denied, the biller must follow up with the patient to work out payment or to resolve any issues that may have caused the rejection. This includes resubmitting the claim or pursuing unpaid bills through a third-party collection agency.
The best medical billing companies have their processes and workflows fully streamlined to ensure the highest level of quality. They offer real-time reporting, consultation and support on all aspects of the revenue cycle. They’ll also make sure your practice’s clinical documentation meets coding and compliance standards. They’ll help you avoid bad debt and write-offs, which can be a big expense for practices.