Effective strategy working out!

When a treatment is rendered, the hospital /healthcare facility /doctor must issue a claim (similar to an invoice) to the patient 's insurance company for payment. Upon receipt of the claim, the Insurance company either pay a portion or rejects the claim.

For the billing information to reach the respected insurance companies. the patients demographic information (NACSZ ,Social Security #,DOB. Telephone #, Insurance Plan, etc.)and associated charges are forwarded to  Via Scanning on charge sheets.

 

WHAT IS MEDICAL BILLING?

  • This business seems to be no more than data entry and that the software makes the business work. And clients just waiting for someone to process their electronic claims..

  • WHAT IS MEDICAL CODING?

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  • MEDICAL BILLING CLASSES

    The Medical Billing industry is one of the fastest growing industries in the market. In the Global market the Medical billing has shown a tremendous upsweep in the last few years...

MEDICAL BILLING FUNCTION

People from US normally acquire their medical insurance through their employer. An employer /company signs up for a particular health insurance plan..

 

ACCOUNT RECEIVABLE PROCESS

 

When a treatment is rendered, the hospital /healthcare facility /doctor must issue a claim (similar to an invoice) to the patient 's insurance company for payment. Upon receipt of the claim, the Insurance company either pay a portion or rejects the claim.

For the billing information to reach the respected insurance companies. the patients demographic information (NACSZ ,Social Security #,DOB. Telephone #, Insurance Plan, etc.)and associated charges are forwarded to  Via Scanning on charge sheets. The demographic information and the treatments incurred within the Billing System .(We have choice of billing system software  to choose from depending upon the clients requirements)

 

Insurance Companies, on average, take 30 days to process a claim. Once a check is issued for payment, a check voucher and an eob is forwarded to   via Scanning.

 

The cash group then reviews the payments versus the amount billed payment are  posted for each patient accounts via Billing software System .Any outstanding issues with the insurance companies are forwarded to the accounts receivable group.

 

If a pay is not received within 30 days, the account receivable (AR) group either checks on status on the insurance EDI systems or calls the insurance companies to investigate why? .

 

  AR reps serve as an internal audit of the entire billing department.

Continue to read more about Types of Medical insurance plans