MedBill Pros
Medical Billing and Claim Services
What do we do?
We do everything involved to get a doctor paid for their services. This is payment from the insurance company and the patient. But there is more involving the process. The medical billing process is really important to the financial health of the practice, if claims are not submitted promptly, the doctors including us, would not get paid.
Submitting Claims
The medical biller and coder makes sure all forms are completed and approved and enters the information into the medical billing software, including doctor’s information, patient’s information, insurance information, medical billing codes, payment information, and any special notes on the account. Medical billing codes are necessary for a doctor to be properly reimbursed for the services provided. These codes are some of many:
• ICD 9 codes (and ICD 10 codes)- international classification of diseases
• CPT codes- current procedural terminology
• CPT modifiers- these provide additional information to payers to make sure doctors get paid correctly for services provided
• Medicare billing codes- explained for provider services and hospital insurance
• CDT codes (dental)- code on dental procedures
• NDC drug codes- national drug codes
• DRG Medicare codes- diagnosis related group
• Taxamony codes- used to categorize a provider or group specialty
Our responsibility as Medical billers and coders
• Collect the information necessary to prepare insurance claims and bill patients
• Enter patient’s information and insurance information into the medical billing software
• Enter patient’s special information including ICD 9 diagnosis codes and CPT medical billing codes
• Interpret and post explanation of benefits (EOB)
• Research, correct, and re-submit denied claims
• Bill patients for their responsible portions
• Answer patient’s questions