Medical Billing FAQs

In this day and age, certain processes are more necessary than others. This is usually the case because these processes often simplify and streamline processes considered otherwise essential to businesses—or, in this case, medical practices.

Medical billing is a process that involves submitting and following up on claims that were submitted to health insurance companies. Medical billing is typically manually conducted by a specialist; however more companies are turning to electronic physicians billing service software to take care of their medical billing.

Therefore, electronic physicians billing services involve the same process, except that the specialist instead electronically submits and collects information regarding claims from insurance providers or the patient who provides payment in exchange for health services.

In our last article, we learned that more physician’s practices are utilizing physicians billing service software. In this article, we're going to review some questions that you might have about physicians billing service software.

But, in this day and age, it's not possible to perform certain processes by solely relying on manual labor. In this case, medical billing services are growing more dependent on automated software-based services as the process itself grows increasingly important to physicians firms, since it helps significantly help decrease work flow and cut costs.

What does medical billing involve? Or, what should I expect from a physicians billing service?

Medical billing essentially turns health care services into billing claims. The main purpose of the process is following through on medical claims, which ensures that a practice receives reimbursement for the work that their associated healthcare providers perform.

Although much of the process is performed using software, medical billers have various duties, which may include:

Navigating through health insurance rules and regulations to reduce delays.

Learning and understanding nuances of different health insurance carriers, in addition to their claims requirements.

Providing successful follow up reports for practices, such as the appeals process for denied claims and the like.

Use data and reports collected by software as indicators to learn what needs to be improved in regards to the billing process.

An excellent and knowledgeable medical biller can help efficiently optimize revenue performance for their practice. Nowadays, physicians billing service software is an asset for medical billers and, ultimately, help physicians cut costs and labor when it comes to the process.

How can I shop around for a reputable and professional physicians billing service?

Choosing a physicians billing service provider is much like selecting any professional to handle work you need completed. Naturally, there are various criteria you should evaluate before considering any physicians billing service. Those criteria include their industry experience, level of service, use of technology, pricing model and their ability and capacity to take on new clients.

Most medical billing services handle various tasks associated with the practice, including the essential claim generation and submission, carrier follow ups, payment posting and processing, patient support and invoicing and various collection agency transfer services.

Some reputable physicians billing services may offer services like medical coding and transcription. The fees may vary based on the services offered by the physicians billing service company.