The Business Of Medical Billing

More and more healthcare providers have chosen to outsource their medical billing process.

Medical billing is the process of submitting claims to insurance companies in order to receive payment for services provided to a patient by a healthcare provider.

As simple as it sounds, the same cannot be said about the actual cycle of a claim.

The process starts when a patient visits the provider?s office. Depending on the patient?s diagnosis and the services provided, a certified coder translates these into alphanumeric codes which are internationally recognized, International Classification of Diseases, 9th Edition (ICD-9) and Current Procedural Terminology,4th Edition (CPT-4). From this, a billing form is generated which is then sent to the patient?s insurance company either by paper or electronically.

The challenge starts when insurance companies deny or pend the claims submitted. The list of possible reasons for denial or pending of claims continuously grows as laws, regulations and guidelines are formed or changed. Human error plays a large role as well. Depending on the State, the top billing errors may vary, but a few of the common errors include duplicate claims, medical necessity, beneficiary eligibility, non-covered services and bundled services. Whatever the reason for the denial, bottom line is, the revenue of the healthcare providers is extremely affected.

In this regard, more and more healthcare providers outsource their medical billing process to not deal with the headaches and pains medical billing may bring. This also enables them to focus more on their core business which is providing medical services.

At this point, the success of obtaining the maximum reimbursement for the services rendered by the provider now lies in the capability of the outsourcing companies.

ABOUT INFINIT-O
Infinit-O is a leading BPO company with offices in the US, UK and Philippines providing back office outsourcing solutions and knowledge process outsourcing (KPO) solutions in the financial services and healthcare sectors.

The company delivers high quality outsourcing solutions with a highly motivated and experienced team, an ability to optimize business processes, access to cost effective and innovative technology, all delivered from highly secure work environment.

For more information visit www.infinit-o.com

CONTACT DETAILS
Infinit Outsourcing, Inc.
2328 Deckham Lane
Silver Spring. MD
20906

Richard Eldridge
(866) 727 2504
richard.eldridge ( @ ) infinit-o dot com

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Contact Details

Company Name: Infinit Outsourcing Inc.
Issued By: Richard Eldridge
Phone: 866 727 2504
Address:
Zip: 1227
Website: Visit the website

by Richard Eldridge (few years ago!)

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