Medical Billing

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MEDICAL BILLING PRESENTATION ON BY ELIZABETH TOJO

DEFINITION MEDICAL BILLING IS A PROCESS OF SUBMISSION OF BILLS TO THE INSURANCE COMPANY IN A SPECIFIED FORMAT FOR THE SERVICE RENDERED BY THE PHYSICIAN ON THE PATIENT.

3 MAIN PARTIES PATIENT PROVIDER BILLING OFFICE CLEARING HOUSE INSURANCE COMPANY

BILLING OFFICE

RESPONSIBILITIES OF A BO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DEPARTMENTS IN A BO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INSURANCE COMPANIES ,[object Object],[object Object],[object Object],[object Object]

FEDERAL INSURANCE COMPANIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COMMERCIAL INSURANCE COMPANIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Basic Steps to Start Process 1. Infrastructure…………………………………………. 2. Medical Billing Software…………………………….. 3. EDI Enrollment………………………………………. 4. Requirement from Provider End……………………... 5. Data Migration Procedure……………………………. 6. India-US roles…………………………………………. 7. India Operation Set up Flow Chart……………………. 8. Data Transmission/ Work Execution Flow Chart……

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