Medical billing can be complicated¾every test, every treatment, every visit is charged differently.

It can be rather complicated when you account for health insurance and different types of coverage that one gets. Accuracy is important and cuts short the steps to payment processing.

Outsourcing your medical billing needs can be useful in achieving higher accuracy. Doctors and physicians really don’t have enough time to process the bills themselves. Errors are probable if the task is left to untrained personnel.

Here are a few key steps in the process:

1. Patient checks in

This is the first stage where the appointment takes place and patient’s information is recorded. This includes information about the insurance payer and policy number. All the information that can be useful in a claim situation must be noted at this point.

2. Insurance eligibility verification

All patients’ insurance eligibility is verified before every appointment.

This includes regular patients too as this information can change at any time. It’s necessary to ask complete information and verify it.

It’s also possible that a recent change benefits the patient or requires authorization. Double-checking the information is always worth the trouble!

3. Coding the procedures, diagnosis and modifiers

Correct coding can help inform the insurance payer exactly what treatment and/or procedure the patient is undergoing. Correct diagnosis codes are necessary to describe the illness or relevant symptoms.

Accurate HCPCS and CPT code modifiers must be used for this purpose. Correct codes and modifiers will allow the insurance payer to accurately carry out an assessment.

4. Charge entry

At this step, the actual chargers of the services availed by patient are received by them. It also includes linking of medical codes with procedures and services that were rendered during the appointment.

5. Submission of claims

When the claim is completed, it will be submitted to the insurance payer. This is when the payer information comes handy for medical billers.

Three are standard billing guidelines for most insurance companies, but there are some who have different procedures too. The guidelines should be checked for every payer to ensure accurate claim submission.

6. Payment posting

This is where payment posting and depositing occurs. The amount billed to a patient will turn zero if paid in full, or reflect the balance to be paid by the patient. However, the insurance payers’ responsibility must have met their responsibilities by this step.

If any error occurs at any of these steps, it can be both costly and time consuming! Avoid the trouble by signing up for our expert medical billing services in Boca Raton.

We offer a range of medical billing solutions to ensure accuracy and efficiency at your facility! Call us right away at 800-783-6980 for information.