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MEDICAL BILLING  -AN OVERVIEW
U S HEALTHCARE Medical Billing Claims Adjudication Medical Billing is the practice of submitting claims to Insurance companies or the United States government, specifically Medicare in order to receive payment for services provided to a patient by a doctor The insurance review department reviews the claim and after the edit checks, the claim is adjudicated and processed for payment. The check and the Explanation of Benefits are sent to the provider
Difference Between Indian & U S Healthcare Industry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Billing Process
Billing Process                                                 
Doctor’s Office ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Insurance Card
 
Scanning ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Super Bill /Encounter Form
Coding ,[object Object]
Patient Demographics ,[object Object]
Charge Entry ,[object Object],[object Object]
Charge Entry Screen
Claims Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object]
Payment Posting ,[object Object],[object Object],[object Object]
Payment Posting Screen
Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
AR Follow-up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Month End Reports ,[object Object],[object Object],[object Object]

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Medical Billing 1

  • 1. MEDICAL BILLING -AN OVERVIEW
  • 2. U S HEALTHCARE Medical Billing Claims Adjudication Medical Billing is the practice of submitting claims to Insurance companies or the United States government, specifically Medicare in order to receive payment for services provided to a patient by a doctor The insurance review department reviews the claim and after the edit checks, the claim is adjudicated and processed for payment. The check and the Explanation of Benefits are sent to the provider
  • 3.
  • 5. Billing Process                                                 
  • 6.
  • 8.  
  • 9.
  • 10. Patient Super Bill /Encounter Form
  • 11.
  • 12.
  • 13.
  • 15.
  • 16.
  • 18.
  • 19.
  • 20.