Medical Billers and Coders

  The way that business offices can have reference patterns amongst consumers is a tactical opportunity as the insurance market moves to high deductible plans and hospitals take in new physicians into their business. According to a survey conducted by Connance in 2011 Americans who received hospital services in the past 2 years, merely 21% of patients engaged with the business office after discharge are completely contented with hospital billing, and those less happy are less liable to recommend the hospital to their friends and acquaintances. Moreover, the survey also suggests that among the insured respondents, 31% had high deductible plans. Overall contentment with the hospital billing procedures is low with just twenty-one percent awarding billing processes a score “5” (on a 1 to 5 scale) and sixty-five percent giving a “3” or less. Customers with balances due of fewer than $100 are likely to be less unhappy, with thirty-six percent giving business office procedures a top s...

  Patient billing is one of the major complaints that patients have when it comes to the total experience of getting medical care. If your hospital is relating patient satisfaction to the patient’s clinical experience, an important aspect is being missed out. How your patients will assess their overall quality of care will depend majorly on their billing and payment experience. The purpose of  hospital billing  is to bill the claims for in-patient and out-patient services provided by hospitals or healthcare organizations. Every successful interaction your medical office will have with the patients (from the time of appointment scheduling till the bill is paid in full) will help your hospital achieve excellent patient satisfaction results. What needs to be done? Hire well-trained medical office staff Create a team of certified coders and billers Improve front-end processes Perform workflow and productivity assessment of the in-house staff Provide training and dev...

  Outsourcing Hospitalist Billing Increases Revenue By outsourcing hospitalist billing, a team of experts will manage the accounts receivables (AR). Billing experts capture denials and accurately report the EoB (explanation of benefits) information, resulting in a considerable drop in the processing time. In the case of an in-house billing system, the claims would have to wait if the biller goes on a holiday or falls sick. Outsourcing billing services take care of such situations and ensures a steady flow of claim submissions. Accurate and Timely Submissions Professional billing service providers submit accurate medical bills and file claims on time. This results in an increase in the number of medical reimbursements. With expert billers, there would be minimal coding errors, which ultimately lead to reduced claims denials. Outsourced billers keep track of the progress of denials and help streamline them and the claims appeal too. They categorize payers as per the respect...

Physician billing, which is also termed  Ambulatory Surgical Center (ASC) billing  or professional billing is the billing of claims for services, which were offered or performed by healthcare professionals or a physician that also includes inpatient and outpatient services. In this blog, we will take a quick look at both physician and hospital billing. Majorly, these claims are billed electronically as the 837-P form. Institutional billing deals with claims for procedures or work executed by institutions like nursing facilities, inpatient and outpatient centers, and hospitals. Moreover, these claims need the 837-I electronic version or the UB-04 paper form. Institutional or hospital billing is basically more complicated and needs separate billers as well as coders. As far as physician billing is concerned, the role of billers and coders is merged many times. Nevertheless, when we emphasize medical billing and coding, one should specifically understand that physician billing se...