Medical billing is the process by which healthcare organizations submit claims to payers and bill patients for their own financial responsibility. While coders are busy translating medical records, the front-end billing process has already started.
FRONT-END MEDICAL BILLING
Medical billing begins when a patient registers at the office or hospital and schedules an appointment.
BACK-END MEDICAL BILLING
Together, medical coders and back-end medical billers use codes and patient information to create a “superbill”
Medical billers submit claims directly to the payer or use a third-party organization, such as a clearinghouse. A clearinghouse forwards claims from providers to payers. These companies also scrub claims and verify the information to ensure reimbursement.
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