Medical Billing


Medical Billing

Medical Billing is an accounting for medical bills and medical claims submitted on behalf of a patient to insurance companies.  This field has to do with revenue accounting, and nothing to do much more with coding.  The Medical Biller handles the Revenue Cycle Management for the medical facility.

Medical Billing specialists work to verify that all the required information is present in the claim and that the medical services being billed on the insurance claim are supported by the patient's medical record so that the insurance companies are making correct payments without overpaying. In addition to ensuring that the data is accurate and that the claim is adjudicated properly. Payments coming from either the patient or the insurance payor are posted to the claim by the Medical Biller. Any remaining balances are then either written off, adjusted, or pursued in collections. The Medical Biller is the trained person who handles the Revenue Cycle Management for the medical facility.

Revenue Cycle Management: (RCM) is the financial process, utilizing medical billing software that healthcare facilities use to track patient care episodes from registration, claim submission, denial management, and payment posting AR follow up, charge entry, and appointment scheduling to the final payment of a balance.

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Scope of Medical Billing.

Nearly 82% of the US companies ranked India as their first choice for outsourcing Medical Billing services. Increasing demands on providers with decreasing reimbursement require healthcare offices to have highly skilled medical billers for optimizing practice's revenue performance. There is much healthcare it companies based in Kerala which does medical billing process for US-based and UAE based hospitals, clinics, nursing homes, insurance companies, etc. these companies are continuously looking excellent workforce with people who have strong medical billing knowledge with the process-based approach. The average salary they offer an average salary of Rs168, 675 to Rs.213, 245 per year.

Program Overview.

The Medical Billing certificate program provides a sequence of courses that prepares students with appropriate general core, insurance plans, claim submission, denial management, account receivable follow up, charge-entry, payment posting, diagnosis codes, procedure codes, modifiers, etc. Learning opportunities develop academic, technical, and professional knowledge and skills required for job acquisition, retention, and advancement. The program emphasizes a combination of didactic and laboratory instruction with Practice Management / Medical Billing Software training which is necessary for successful employment.

After successful completion, students are eligible to sit for the Certified Medical Biller (CPB) exam, which is a national exam from the AAPC designed to certify entry-level Medical Billers.