What You Should Know About Medical Billing

By Jack M Patterson

Medical billing is the business of submitting and following up on claims to insurance companies so that doctors can receive payment for their services. This is the process utilized by most insurance companies, both government-owned and privately-owned. The actual billing process will take place between a healthcare provider and the insurance company, who is actually making the payment.

The patient's medical record is updated after an in-office visit and contains a summary of all treatment, diagnosis and demographic information. The level of service will be determined by staff and then translated into a five-digit procedure and numerical code. The biller then transmits the claim to the insurance company. (In the past, paper forms were mailed; now this process is mostly handled electronically.) The insurance company then processes the claim, if its medical directors review the claims favorably and can evaluate their validity. Approved claims will be reimbursed for a certain percentage of the billed services as stated in the contract between insurance company and the insured.

There are numerous companies that offer medical billing services. What are the most important factors in choosing one? Knowledge and experience in the healthcare industry is important, as is training in administrative experience. This may include training in Revenue Cycle Management, which aims to ensure the highest reimbursements possible. Technology is another important factor in choosing the best medical billing service provider, and some companies will highlight their state-of-the-art medical records system that makes billing and scheduling easy. Some of these medical billing companies may focus in certain areas of practice such as orthopedics, neurology, rehabilitation or pain management.

If you are interesting in medical billing as either a health care practitioner or as a possible career, contact http://www.GRMed.com. This company has over 65 years of combined experience and has been involved with medical billing for over a decade. [http://www.GRMed.com]GRMed is an experienced and trusted [http://www.grmed.com/what_we_do]medical billing service provider. For more information about their history and their services, visit GRMed.com.

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