Medical claim billing is a process of complete paper work submission and claiming by insurance companies for retrieving payments. This process generally followed by medical insurance companies which are private or government companies.
Medical claims invoice process involves various types of activities but the main purpose of any claim billing company is to process super-bills and submitting medical claims to insurance companies in order to receive payments for their clients in a timely manner.
Once the procedure and diagnosis codes are determined, the medical biller will transmit the claim to the insurance company. Medical claims invoice is usually done electronically by formatting the claim as an ANSI 837 file and using electronic data interchange to submit the claim file to the payer directly or via a clearing house.
To run a profitable medical business, hospitals and other health care facilities should follow an effective way of collecting reimbursement.
Medical claims invoice process includes the below steps:
- Pre-certification & Insurance Verification
- Patient Demographic Entry
- CPT and ICD-9 Coding
- Charge Entry
- Claims Submission
- Payment Posting
- Account Receivables Follow-up
- Denial Management
Today, invoice process is become one of the most important outsourcing services in the healthcare industries and across the world. This services booming day by day in many hospitals and practitioner to outsource their invoice and reimbursement requirements to offshore facilities.
The concept of invoice outsourcing was started from the requirements to get additional billing specialists to perform those secondary tasks apart from the primary medical tasks which are managed by the billing specialists from the medical institutions such as the hospitals, private clinics, nursing homes etc.
Outsourcing of medical invoice service has been widely implemented in the medical industry today. Offshore Medical Billing has provided numerous medical health care and medical billing services. We also provides medical invoice systems with more than 17 years of experience, specialized in services provided with Medicare and Medicaid.
To outsource your medical billing requirements to us, please contact us.