Aside from the actual diagnosis, the medical billing procedure is one of the most important aspects of the health care industry. Ensuring the patients pay for their services and doctors receive payment, medical billing is vital - yet time consuming. Until AR-Express was created!
The Medical Billing procedure is the process of interaction between a doctor’s office and the insurance company. This procedure begins when a patient is seen by the a physician. The doctor’s office books the appointment, creates a file (or update an existing file) with the patient’s current medical record. During the appointment, the doctor’s office will give the patient one or more diagnosis and treatments. The patient’s record is updated with this diagnosis and suggested treatment. Once the file is updated, the diagnosis is then translated into a special 5 digit code. (Created from the Current Procedural Terminology)
Once the doctor and his/her staff have the diagnosis and treatment documented, the medical biller can now do their important task. This person submits the claim to the payer’s insurance company. Generally, this is done electronically through a special medical billing software. In the past, most medical claims were submitted in a paper form; in the case of professional (non-hospital) services and for most payers the CMS-1500 form or HICF (Health Insurance Claim Form) was (and is still) frequently used.
This procedure is made simple with AR-Express!
• Windows-based• HIPAA EDI Compliant Billing• Multi Provider• Multi user and Network Ready• Free Expert Training• Engineered for Dependability• Latest Database Technology• User Defined Security Levels
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