Medical Billing

Medical Billing Blog

Medical Billing and Coding Blog which provides more information about Medical Billing information from across the world inlcuding US Healthcare, UK, UAE and India.

What is Medical Billing

The medical billing is a process that involves a third party payer, which can be an insurance company or the patient. Medical billing results in claims, which are billing invoices for medical services rendered to patients.

Revenue Cycle Management (RCM)

Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.

Check out more about RCM Process…

Charge capture
Rendering medical services into billable charges.
Claim submission
Submitting claims of billable fees to insurance companies.
Properly coding diagnoses and procedures.
Patient collections
Determining patient balances and collecting payments.
Collecting preregistration information, such as insurance coverage, before a patient arrives for inpatient or outpatient procedures.
Collecting subsequent patient information during registration to establish a medical record number and meet various regulatory, financial and clinical requirements.
Remittance processing
Applying or rejecting payments through remittance processing.
Third-party follow up
Collecting payments from third-party insurers.
Utilization review
Examining the necessity of medical services.
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