Of
lately, the number of private medical institutions has grown exponentially
observing the increase of unhealthy lifestyles at large followed by the urge in
people to keep them updated about their physical health to combat any unforeseen
medical issue. Health awareness amongst the common people has led them
investing into health insurance companies so that they may get reimbursement
during any medical treatment. This procedure has resulted in complexities in
the administration work of the medical institutions.
The
outsourcing of Medical Billing System is one such way to decrease the work
pressure and avoidance of getting inside the technicalities of calculation of
total expenses to be paid by the patients at the time of discharge.
Now
what exactly is Medical Billing System? In layman terms, it is a process of
submission of patient’s information and following up on claims with the health
insurance companies. The health care institutions render services to its
patients in return of which they charge a definite sum of money. It depends
from patient to patient, whether they are eligible to pay the total amount that
has not opted for any health insurance policy or a percentage of amounts that
shall be paid by the health insurance company who has invested in any health
policy. It is a step by step process where involvement of health care
provider’s administration as well as insurance companies’ administration takes
place. Communication between the two becomes the key in the system. The process
starts with the medical coding where a unique code is assigned to each and
every patient to maintain a distinction for finding the case history with an
ease. Secondly, all the demographic information of the patient is stored along
with the treatment and medication involved with the expenses incurred. It is
the patient who has to submit the relevant information of the insurance claim
he has invested in so that the actual function begins. The health care
institution has to submit all the proof relating to the treatment involved in a
given patient’s case only then the process of payment of requisite medical fee
gets started.
It
is because of which how important it becomes to outsource Medical Billing Services because hospitals and other health care providers’ have their forte to
provide medical facilities and not accounts settlement.
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