Medical Billing Process

Medical Billing Process

Medical Billing Process

Medical billing is becoming more and more complicated as the costs involved in processing a medical bill has to take into account distinct aspects and the increased costs and security procedures demand a perfect billing method which is both transparent and fully accountable for. As most patients pay their medical bills through security companies who demand the complete details of the patient and his medical records along with the accurate summarisation of the treatment method and the cost of investigations and medical examinations as also the billing for each head. This creates a huge demand for an accurate and extensive medical billing process. The hospitals get the final payment after the patient has submitted his/her claim to the insurance companies barring a few who pay up direct( they too require these detailed bills and medical affairs to settle the bill and for future reference). This creates a huge work flow for the billing and accounts administration and if the process is not efficient will slow up the turnover of hospital beds which are in huge demand and serve a social cause too.

Thus most companies have been looking to outsource their medical billing method to companies which specialise in this workflow. What is thus the method and how does it help to follow a workflow otherwise the whole method will become both difficult and not efficient. The medical billing workflow can be summarised in a chart thus:

Patient -

Front Office (who will verify the medical insurance card or payment method-

Physician (including nursing and hospital staff) who will verify the treatment and the medicines and supplies and the cost incurred for the distinct tests and investigations)-

Billing administration (who will verify the costs involved and make a bill for the total amount)-

Outsourced Billing method /or in house (whose job it is to enter and check each and every aspect of the patients details are correct and the procedure followed have been accurate and billed for or if there are any changes or extra charges involved and make the final bill which has to be sent for the medical assurance company for settlement of the bill)-

Medical insurance company will further check the detailed bill sent to them for claim and using specialised software and personnel will send the payment to the hospital -

The Cashier and accounts administration will verify the amount settled and if any extra has to be paid will ensure that payment from the patient and settle his bill.

This entire process is becoming more and more complicated as the cost of medical treatment is increasing and more people are seeking assurance settlements for their medical bills. Thus the medical billing method is not as simple as it seems and complete auditing records have to be filled and rechecked and details have to be maintained for future reference. To speed up the process these hospitals and doctors too have outsourced their medical billing and claims formalities to companies and professionals who are efficient and have experience on medical billing method of the distinct parts of the world.

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