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Healthcare without Medical Billing Companies (2015-04-08)
The US healthcare system, as in any other country, is undeniably dependent upon the network of physicians, clinics, hospitals, ambulance services, and any other part of the healthcare system that provides medical advice and service to citizens.
Managing the business part of it has never been easy for healthcare providers in no small part thanks to ever-changing rules and regulations, some at the state level, others at the federal level.
Add to that the fact that health insurance companies provide different packages and different levels of care for different people at different premiums.
All those facts and realities on the ground mean that physicians have to deal with very complicated administrative rules to get paid for the services they render. Physician billing requires physician billing service because medical billing service has become complicated business.
To understand the dynamics of medical billing, one has to understand the process. Once you are done with a visit to a doctor, the physician and the staff produce an electronic health record, using myriad of software available in the market, to record what your complaint was, what the physician diagnosed, and where to go from there.
But those records mean nothing to the insurance companies that would have to pay the doctor and his operation. Medical coders will have to use those records, or ambulatory surgery center billing invoices, to associate them with proper codes which medical billers would then use to come up with figures. Those are then sent to the insurance company for approval, or not.
The job of transforming those electronic records to something insurance companies can understand is what top medical billing companies do. Unless a doctor’s business is part of the many large physician practice management companies, they need the help of the best medical billing companies to run a profitable business.
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