Medical Billing Process - Medical Insurance Billing Process
Medical billing India follows a unique medical billing process towards outsource medical billing, medical insurance billing, medical coding and medical insurance claims processing projects. Our unique medical billing process enables us to provide optimal outsourcing solution by assessing and analyzing the projects. What makes us completely different from other medical billing companies. Our medical billing process built on a consistent track record of solid execution of projects. All these factors help us to ensure that all medical billing and coding projects are completed within budget and delivered on time with high quality and accuracy.With an excellent team of highly skilled medical billing service professionals, we execute our time-proven implementation medical billing process. This medical billing process includes various well-organized phases perfectly designed for high efficiency and cost control.
Medical Billing Process:
- The scanned images of medical records such as Demographics and charge sheets can be uploaded to our FTP server. You can also courier the medical records directly to our address.
- The uploaded files are retrieved at our operations center and are arranged according to patient names.
- These files are sent to appropriate departments with the control log.
- Missing documents are identified and intimated to the client.
- Key-in codes for insurance companies, doctors and modifiers are entered.
- Numerical codes for CPT and the Diagnosis Code are assigned by the coding team.
- Experienced professionals enter patient personal information from various sources including hardcopies, image files and databases.
- Charge created according to the billing rules pertaining to specific carriers and locations.
- Charge entry undergoes an audit process which ensures the accuracy of the entry based on carrier requirements.
- Paper claims are printed inserted into envelopes and sent for postage and mailing. Electronic claims are sent through e mail.
- Rejections are analyzed and appropriate corrective action is taken.
- Current status of the claim is verified from the call center.
- If the claim is being denied, corrective action is initiated and if is processed for payment, a list of payment details is compiled.
