Medical billing is an insurance payment processing activity within the United States healthcare system. The procedure typically involves a health care provider obtaining insurance details from a patient, submitting a claim and following up with insurance payers to make sure that a diagnosis has been made and that payments have been received. Medical billing providers are called payers and in some states are regulated by state insurance departments. In larger medical offices, there are often several different billers working in close conjunction with each other.
Both medical billing and medical coding work together to ensure that the various payers, such as health care providers, insurance companies, government agencies, and the individual paying for their health care, knows what to expect when they receive a bill. This ensures that payment can be processed without disruption to the health care provider or client. When it comes to the medical billing and medical coding industry, there are usually two separate functions: the medical bills and the medical coder.
Medical billing and medical coding are usually completed by the same healthcare providers who conduct the patient visit. However, it is becoming more common for healthcare professionals such as physicians, dentists and attorneys to perform these tasks. Some medical offices will hire medical coders or billers to perform the work for them and some smaller offices may choose to outsource their medical billing and medical coding to third party companies. It is wise to discuss all of your options with your physician or healthcare provider before you decide whom to outsource the work to.