Skip to main content

Medical Insurance Billing and Coding

Medical insurance billing and coding is the subject of much discourse lately. Just what exactly is it? And why is everyone talking about it?

Well, before we go right ahead and answer these questions for you, let us first consider a few things about medical insurance billing and coding:

1. That medical insurance billing and coding is in great demand

It is true that the need for trained professionals who specialize in medical insurance billing and coding has steadily grown for the past few decades. The cause may be the emergence of more medical coverage plans, such as Fee for Service Plans, Health Maintenance Organizations or HMOs, Point of Service Plans or POS, and Preferred Provider Plans or PPOs. Aside from that, federal regulations and health insurance policies have also contributed to this strong demand for experienced medical insurance billing and coding professionals.

2. That medical insurance billing and coding is one of the top twenty healthcare occupations

According to the US Bureau of Labor Statistics or BLS, medical insurance billing and coding specialists are one of the twenty fastest growing allied health occupations in the healthcare industry. Every doctor will agree when we say that medical insurance billing and coding are their key to getting paid for the services they provide to their patients.

3. That there are two types of medical insurance billing and coding

The first type and the most popular is the electronic type of medical insurance billing and coding. In this form, claims are often processed electronically and sent to insurance companies via the Internet, fax, or a combination of both. This is much preferred in the medical community today because it is faster. Electronic claims can be processed in ten to fourteen days while paper claims can take up to thirty days to get approved.

So what is it?

Well, the phrase is actually composed of two elements. There is medical insurance billing and then there is medical coding. They are two very related but very distinct fields in the healthcare industry. Where one deals primarily with converting codes into billing records, the other deals with making decisions for the financial benefit of the medical practice.

Medical insurance billing and coding are often described as practice management. They are the doctor's key to getting paid. Medical insurance billing and coding services are indispensable to a medical office because they are a type of "defensive medicine" to help reduce liability costs of a practice.

Popular posts from this blog

Medical Billing Careers

Medical billing careers are among the top contenders of the recent job explosion in the healthcare industry. In fact, the Bureau of Labor Statistics states that it is one of the top twenty occupations in healthcare. Medical billing careers are pivotal to the success of the medical practice. It is often referred to as the doctor's key to getting paid for the services he rendered. Medical billing careers encompass a wide scope and a broad range of responsibilities as it includes front office tasks, among others, in its list of things to do. Nature of Work Success in medical billing careers is not as easy as it is often made out to be by those ads you see in the classified section of the local newspaper or the Internet. Not everyone who enters into one end up rich. Competition is fierce and in the end, the competent ones are the only ones who survive. To achieve some measure of success in medical billing careers, you will need to know all the basic concepts related to the jo...

Medical Billing Jobs

Medical billing jobs are increasingly becoming one of the fastest growing careers in the employment market. It's not that medical billing jobs are easy because it's not. The job calls for complicated tasks that require a truly qualified and skilled professional to handle responsibly. Medical billing jobs are more accurately defined as practice management. It is a service based on trust. Unfortunately, the very nature of medical billing jobs make it susceptible to scams that not only mislead consumers to believe that they are going to make a good profit but also destroy the image that medical billing jobs have in the face of the public. Scams are abounding these days. That is why you, as a prospective employee looking for medical billing jobs, need to be more aware and attuned to the current trends in order to avoid getting fooled. What are the responsibilities? Medical billing jobs embrace a whole range of responsibilities. These include: * Read and review medical documentation...

Medical Insurance Billing Software

Medical insurance billing software has been helping medical practices manage their offices for decades now. In fact, the earliest medical insurance billing software, though somewhat primitive then, started appearing thirty years ago, give or take a few years. One can even say that medical insurance billing software is about as old as medical billing itself. The medical insurance billing software packages today are called medical practice management systems or MPM systems and they bear only the most basic resemblance to their older counterparts. These packages are often packed with features to make medical billing easier and simpler for the medical biller and coder. The uses of medical insurance billing software may vary depending according to the type of features the package contains. Some solutions may allow staffers to track patient demographics, visits, and diagnoses. Others may collect, transmit, and track billing information and insurance payments. Still others apply mor...