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People from US normally acquire their medical insurance through their employer. An employer /company signs up for a particular health insurance plan, offers the plan to its employee and allows the employee to decide whether he/she wants to sign up. (Most employees do sign up and its often one of the firs

The role, structure and functions

How medical Insurance works

Types of medical insurance

 

 

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?

    Medical Coding is the process of converting verbal diagnosis and procedures to a standardized Universal numerical code. The details of the Medical diagnosis and procedures...

  • 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..

Functionality of Medical Billing    


Charge Entry

 

Billing does not begin until after the completion of a patient ‘s treatment.

The hospital, doctors and treatment facilities submit to state college what is called charge sheet contains the treatment codes of the procedure rendered on the patient

 

 

After a QA check, our American office then scans the charge sheets to ban galore for processing .The scanning department copies and prints out the charge sheet for the charge entry department acted upon.

The charge entry group takes the charge and enters the treatment codes in to the respective patient account within the billing software.

 

  After we receiving the Charge file from respective Department first we need to tally the no of pages we received with the control log. and count the number of Patient received in that particular file, before registering the Patient we need to Check that Patient is New one or Existing .If it's New Patient We need to Register the Patient Demographic Info as per Information Provided in the Patient Demographic Sheet.

 

  If the Patient is Existing one we need to verify the Physician Name and Insurance Coverage is Same , and Note the Existing Account Number

In the Charge Sheet .also verify the Patient Date Of Service is New one and Ensure that it was not entered so far by any body .

 

Before feeding the data in the software ensure all the information provided in the sheet is clear and legible do not assume any thing and enter in the system.

 

Physician Name

Procedure Code 

Diagnosis Code


Modifiers