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Medical Billing, Coding, and Revenue Cycle Management

These integral processes ensure healthcare providers are appropriately compensated for the services they deliver, playing a critical role in the financial health and operational efficiency of any healthcare organization.

Medical Billing

Medical billing is the process of submitting and following up on claims with insurance companies to receive payment for services rendered by healthcare providers.

Patient Registration and Insurance Verification

Collecting patient information, insurance details, and verifying coverage before services are rendered.

Charge Entry

Inputting charges for services provided into billing software based on coded data.

Claim Submission

Preparing claims and submitting them to insurance payers electronically or manually.

Payment Posting

Recording payments received from insurance companies or patients.

Patient Billing

Generating statements for any remaining balance after insurance processing.

Follow-ups and Collections

Ensuring timely payment through follow-ups with payers or patients and managing overdue accounts.