Correct medical billing procedures can be complex and there are a number of areas that demand a complete understanding if the procedure is to be carried out correctly. Many doctors offices are far too busy for the proper attention to be placed on this important component of the medical practice, if the coding that is used is disqualified by the patients insurance provider, the claim will be rejected, this results in delays in payment. Because of the innate knowledge that is necessary many small practices have turned to outsourcing medical billing in an effort to reduce errors and to make better use of the staff and the doctors time.
The revenue cycle: A comprehensive understanding of the billing cycle is central for medical billing. Every component of a medical claim, from the time the appointment is scheduled until the patient receives the medical services encompasses the billing cycle. Every step along the way is important to maximizing insurance reimbursement.
Insurance companies: Any medical office is faced with the possibility of having to file claims with any one of thousands of insurance companies. Although the industry tend to follow a standard set of coding and billing guidelines there are certain aspects to a claim which are specific to any given insurance provider. In order to process and submit claims to all these various companies, it is necessary to know the company or to have access to information about the company.
Medicare is unique amongst payers. Medicare payment processing can be quite complex and those who are involved in outsourcing medical billing are intimate with the system.
Medical billing software: The primary goal of every health provider is to get their claims processed and off to the payers ASAP. The faster the claim goes to the insurance provider the faster the doctor will receive payment. Medical billing software has made this task much easier than in the days of manual coding but it does take familiarity with the software package to take full advantage of it.
HIPAA privacy and security:
Any individual or organization that has access to patient records is required by law to respect HIPPA provisions or face criminal or civil penalties. To eliminate this threat from your office employees, passing the responsibility to companies that provide outsourcing of medical billing will ensure confidentiality as these professionals are fully aware of the security rules.
Outsourcing medical billing is a wise decision on the part of any doctor; it allows both the doctor and his staff to focus on proving quality medical care. To learn more you are invited to contact D Pro Technologies.
