1--What is Medical Billing?

Medical Billing is the process of submitting and following up on claims to insurance companies in order to receive payments for medical services rendered by a health care provider.

2--What is the Medical Billing Process?

The Medical Billing process is an interaction between the healthcare provider and the Insurance Company. After examining the patient, the doctor maintains a medical record. This Record includes the patients' symptoms, clinical findings, and diagnosis and treatment details. Following these details a medical coder or a billing specialist provides a medical code for this record. This billing code is then submitted to the Insurance Company. The Insurance Company then proceeds with the claim.

3-- What about the Payment?

Based on the amount negotiated by the doctor and the insurance company, the original charge is reduced.

4--What about the Billing Quality?

Billing Quality is measured in terms of timeliness and completeness of payment. The shape of the distribution curve of Accounts Receivable illustrates billing quality. For several decades, medical billing was done almost entirely on paper. However, with the advent of computers it has become possible to efficiently manage large amounts of claims. Many software companies have arisen to provide medical billing software to this particularly lucrative segment of the market.

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