|
|
|
|
The medical biller is better described as medical
practice's income manager. Every medical office has a need to maintain
patient financial accounts. Medical billers must understand the basic
and major medical coverage plans, such as the
Fee-for-Service Plans,
Health Maintenance Organizations (HMOs),
Point-of-Service Plans (POS), and
Preferred Provider Organizations (PPOs),
By knowing the different methods of billing patients and understanding
the medical billing industry, the Medical Billers do their jobs and
Medical Coders translate clinical data from patient health records and
assign medical codes. |
Their work is submitted to insurance companies for
data collection, research, payment purposes, quality improvement
purposes and billing. The greater the expertise of the Coder in
identifying relevant diagnoses for patient encounters, the greater the
insurance reimbursement to the employer.
The medical Biller must know to
Distinguish between the three levels of coding,
Be familiar with the terminology most often used in a medical office
Be able to electronically file claims
Understand the claims process
Become familiar with durable medical equipment
Distinguish and recognize the most common types of insurance
Medical Billing and Medical Coding goes hand in hand together. Together
when compiled only then can the reimbursements follow sequentially. They
are like a heart and a throb, which can’t do without one another, like
body and soul.
|
|