MEDICAL BILLING

MEDICAL BILLING BY ELIZABETH TOJO DEFINITION MEDICAL BILLING IS A PROCESS OF SUBMISSION OF BILLS TO THE INSURANCE COMPANY IN A SPECIFIED FORMAT FOR THE SERVICE RENDERED BY THE PHYSICIAN ON THE PATIENT. 3 MAIN PARTIES PATIENT PROVIDER BILLING OFFICE CLEARING HOUSE INSURANCE COMPANY BILLING OFFICE RESPONSIBILITIES OF A BO CODING MAINTAINING PATIENT REOCRDS AND ACCOUNTS FILING CLAIMS TO THE INSURANCE COMPANY FOLLOWING UP WITH THE INS CO & THE PATIENTS ASSURING HIGH PRODUCTIVITY & REIMBURSEMENT STRICT ADHERENCE TO THE RULES & REGULATIONS OF THE INSURANCE COMPANIES DEPARTMENTS IN A BO PRINTING CODING PRE-VERIFICATION CHARGE ENTRY AUDIT / QUALITY CONTROL CLAIMS & TRANSMISSIONS CASH POSTING ACOUNTS RECEIVABLES COMPLIANCES INSURANCE COMPANIES THERE ARE TWO KINDS OF INSURANCE COMPANIES. THEY ARE :  FEDERAL INSURANCE COMPANIES  COMMERCIAL INSURANCE COMPANIES FEDERAL INSURANCE COMPANIES •GOVERNMENT INSURANCE COMPANIES •MOTIVE IS WELFARE •EXAMPLES :     MEDICARE MEDICAID CHAMPUS CHAMPVA COMMERCIAL INSURANCE COMPANIES •PRIVATE INSURANCE COMPANIES •MOTIVE IS PROFIT •EXAMPLES:    AETNA CIGNA BCBS THANK YOU