Healthcare and Medical Billing Process

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Healthcare and Medical Billing Process

Healthcare and Medical Billing Process

The ten steps in the medical billing process are divided into 3 sections and they are: go to, claim, and post claim. The visit has 4 steps and they are: preregister clients, establish financial obligation for the go to, check in patients, and inspect out patients. The claim has 3 actions and they are: review coding compliance, check billing compliance, prepare and transfer claims. The last section is the post claim which has the last 3 actions which are: screen payer adjudication, create client statements, and act on patient payments and deal with collections.Healthcare and Medical Billing Process

HIPAA, ICD, CPT, and HCPCS, all have an important role in the medical billing process. HIPAA safeguard any details in which individuals can identify the patient, their health and history, such as their name, social security number, contact and billing information, and insurance.

When first visiting the medical facility a patient must receive a notice of privacy, this will explain how to exercise his or her rights under HIPAA. It will protect patient records from being disclosed without his or her consent.Healthcare and Medical Billing Process