Steps In The Medical Billing Process

Medical billing is a process that starts from the patient at the contact point

. The first step to take when it comes to the medical billing process is preregistration. This is the right time to put together the insurance and demographic information of a patient. The information gathered is helpful to the financial success and adjudication of your practice and medical claims. The front end processes in the billing process is included in this step.

The second step involves getting the patient"s personal information, which is referred to as the demographic information. The information included is the security number, gender, date of birth, phone number, address and the patient name. It is usually important especially when one is exchanging information with the patient on future contact or with companies such as insurance about the follow up of claims. In order to follow the regulations and rules with Health Insurance Portability and Accountability Act (HIPAA) the demographic information needs protection as it is personal.

Putting together insurance information is the other step to take in the billing process. The information is captured in an accurate manner taking more time at front end processes. The type of information which is included is the patient"s ID number, type of policy, phone number, the insured name of the patient and the insurance provider"s name. It is also appropriate and advantageous to get the mailing address for different claims.

The other step involved in the billing process is obtaining insurance information prior to the patient arriving for his or her first appointment. By doing this, your billing practice will have the ability to obtain the required authorization, verify benefits and eligibility, obtain referrals in addition to being able to verify co-pay and deductible information. If a billing practice fails to obtain proper referrals, claims will be denied.

The final steps in the medical billing process include retrieval and checking of medical claims, which involve the company team checking all documents, medical coding, where the billing company fixes the diagnosis code for the patient and the medical claims audit, which involves checking for and verifying the complete information and procedure. After these steps, the billing company follows them up with the payment agencies and insurance companies until the disbursement of the final settlement.

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You can get Allscripts MyWay, a free EMR-EHR solution that is both CCHIT certified (which means that the healthcare professionals may claim the Stimulus package by utilizing it) as well as fully featured. You can get Allscripts MyWay EMR- EHR for free by signing up for EMR Workforce"s medical billing services.

by: JamesHenry

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