Infographic: The Medical Billing Process in 09 Simple Steps
Navigate the medical billing process in 9 simple steps—from patient registration to collections—ensuring timely reimbursements, reduced errors, and a smooth workflow for healthcare providers.
Medical Billing Infographic
Medical billing is a multi-step process that ensures healthcare providers are reimbursed for their services. It begins with patient registration and insurance verification, followed by accurate documentation and medical coding. Claims are then generated and submitted to insurance companies for payment. After the insurance review, any denials or rejections are addressed before payments are posted. Finally, patients receive billing statements for any outstanding balances. This streamlined process ensures timely reimbursement while minimizing errors and delays, allowing healthcare providers to focus on patient care.
The 9 Simple Steps Of Medical Billing Process Infographic
- Patient Registration
Collecting patient details, demographics, and insurance information for billing purposes.
- Verification of Insurance Eligibility
Confirming patient’s coverage and benefits with the insurance provider before service.
- Prior Authorization for Services
Securing approval from the insurer for specific treatments or procedures.
- Medical Documentation and Coding
Recording services provided and assigning standardized medical codes for billing accuracy.
- Claim Scrubbing and Submission
Reviewing claims errors before submitting them electronically to insurance companies.
- Payer Review and Claim Adjudication
The insurer evaluates the claim for coverage, payment eligibility, or denial.
- Handling Denials or Rejections
Reviewing denied claims if any, making corrections, and resubmitting for reconsideration.
- Payment Posting
Recorded received payments from insurers and adjusted account balances accordingly.
- Patient Billing and Collections
Sending invoices to patients for any remaining balance and managing payment collection.
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