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1. Medical Billing Process - A
Flow Chart
Presented by - Bikham Healthcare

2. Medical Billing Process Flow Chart
The medical billing process is a
progression of steps finished by
billing experts to guarantee that
medical experts are repaid for their
services. Contingent on the
conditions, it can take only days to
finish, or may extend more than a
little while or months. While the
procedure may contrast marginally
between medical workplaces, here is
a general blueprint of a medical
billing work process.

3. Patient Registration
Patient registration is the initial step on any
medical billing Flow chart. This is the
gathering of fundamental statistic data on a
patient, including name, birth date, and the
explanation behind a visit. Insurance data is
gathered, including the name of the
Insurance supplier and the patient's policy
number, and confirmed by medical billers.
This data is utilized to set up a patient
document that will be alluded to amid the
medical billing process.

4. Financial Responsibility
The second step in the process is to decide
financial related duty regarding the visit.
This implies investigating the patient's
insurance details to discover which
procedures and services to be rendered
amid the visit are secured. On the off
chance that there are Services that won't
be secured, the patient is made mindful
that they will be monetarily in charge of
those expenses.

5. Superbill Creation
Amid registration, the patient will be approached
to finish forms for their file, or in the event that it
is an return visit, affirm or update data as of now
on document. Distinguishing proof will be
mentioned, just as a legitimate insurance card, and
co-installments will be collected. When the patient
looks at, medical reports from the visit are
converted into determination and technique codes
by a medical coder. At that point, a report called a
"superbill" might be ordered from all the data
accumulated up to this point. It will incorporate
supplier and clinician data, the patient's
demographic data and medical history, data on the
procedures and services performed, and the
relevant diagnosis and methodology codes.

6. Claims Generation
Charge Entry Process Flowchart
The medicinal biller will at that point utilize
the superbill to set up a medical claim to be
submitted to the patient's insurance
agency. When the case is made, the biller
must go over it cautiously to affirm that it
meets payer and HIPPA consistence
benchmarks, including measures for
medical coding and format.

7. Claims Submission
When the case has been checked for
accuracy and consistence, submission is the
subsequent stage. Much of the time, the
case will be electronically transmitted to a
clearinghouse, which is an outsider
organization that goes about as a contact
between healthcare insurance suppliers
and health insurers. The exemption to this
standard are high-volume payers, for
example, Medicaid, who will acknowledge
guarantees straightforwardly from
healthcare providers.

8. Monitor Claim Adjudication
Settling is the procedure by which payers
assess medical claims and decide if they are
substantial and agreeable, and assuming this is
the case, the measure of reimbursement the
provider will get. Amid this procedure, the case
might be acknowledged, dismissed or denied.
An acknowledged case will be paid by the
insurers providers concurrences with the
supplier. A rejected case is one that has
blunders that must be remedied and the case
resubmitted. A denied case is one that the
payer will not repay.

9. Patient Statement Preparation
When the case has been prepared, the
patient is charged for any outstanding
charges. The statement generally includes a
detailed list of the procedures and services
provided, their costs, the sum paid by
insurance and the sum due from the
patient.

10. Statement Follow-Up
The last step in the medical billing process
is to make sure bills are paid. Medical
billers must follow up with patients whose
bills are delinquent, and, when necessary,
send accounts to collection agencies.

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Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing,
Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical
billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency
room billing. for More visit us on https://www.bikham.com