What Is Medical Billing, Process and Management Explained
                     What Is Medical 
Billing? Process and 
Management 
Explained
• Medical billing is an important process within the 
healthcare industry and represents the method in 
which healthcare providers get reimbursed for 
their professional services rendered. The process 
involves the translation, by way of standardized 
codes, of a patient’s medical records submitted as 
claims to insurance companies for 
reimbursement of provided services.
• Knowledge of medical billing for small owners of 
medical practices is important for the 
maintenance of financial health and operational 
fluency.
Understanding the Basics of 
Medical Billing
• Put simply, medical billing involves the 
conversion of medical services provided by 
healthcare providers into a bill claim. It goes 
as follows:
1. Patient phones up to make an appointment
2. Patient registration, where they give personal 
data and insurance details
3. The medical services are provided to the 
patient.
4. Detailed records of the visit of the patient, along 
with the diagnosis and treatment, are noted 
within the patient’s medical record.
5. Finally, medical coders assign standardized 
procedure codes to every service performed. The 
process by which this is done is called medical 
coding.
• This step is crucial because these codes will 
convey certain information about the patient’s 
visit to the insurance companies. Precise coding is 
what guarantees that the healthcare provider 
gets adequately reimbursed for their work.
The Importance of a Medical Biller
• Medical billers are important in the circle of 
healthcare services. They take care of filing the 
coded claims with the insurance providers, follow 
up on outstanding claims, and are responsible for 
the receipt of payment by the healthcare provider.
• To go about their work, the medical billers have to 
be aware of the nuances of different insurance 
coverage plans and all those minute details about 
health insurance policies.
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management-explained/