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subject: Medical Billing And Coding Process [print this page]


Medical billing nd coding th rt f th administrative side f th health care system tht deals wth nd manages th medical care revenue sequence. It th process tht mk sure health insurance claims fr services rendered t insured patients r reimbursed b th insurance companies.

Medical billing nd coding n vital rt f th health care industry b f th popularity f using health cards t obtain nd pay fr medical care services. Without th people taking care f th revenue sequence t th administrative offices f hospitals nd clinics, th physicians wll h a hard time asking fr reimbursements r payments frm insurance companies nd t wll h a negative impact n health care services.

T further lrf th tasks performed b th medical billers nd medical coders, heres a qk overview f thr tasks.

Insurance verification th rt f th process performed b medical billers nd medical coders require verification f th authenticity f insurance credentials provided b patients. Th insurance coverage wll l b determined here.

Patient information recording th rt f th process involves recording th patients personal information required n hg claims.

CPT nd ICD-9-CM coding th ll bt applying th standard medical codes t services rendered t patients.

Charge entry th ll bt booking th amount corresponding t services rendered.

Claims submission th actual process f preparing th claim form nd submission f th claim t th insurance company. Th n b performed using th traditional mail process r electronically via th facilities n th insurance company website.

Payment posting th th process whr settlements r payments frm insurance companies r monitored nd booked.

Follow-up th process ll bt checking up n th status f th claim.

Disowning management bt th process f handling rejection f claims b th insurance companies. If corrections r needed thn th medical biller nd coder wll d t here.

Reporting th process gives th management concrete feedback n th status f th revenue sequence.

Th processes hld b mastered b th medical biller nd coders hired by the medical billing companies. If r interested n starting a career n th allied health care benefit, need proper training. Y mt learn bt human anatomy, physiology nd diseases, th medical language nd terminologies, health insurance nd reimbursement, nd CPT nd ICD-9-CM standard medical codes. Y n gain knowledge f ll th through proper professional training

Th above processes r th ones medical billers nd coders perform. I hope th gave a llnt thght f th tasks performed b medical billing nd coding professionals.

by: kris shaun




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