Medical Billing In US Healthcare - Intro

Medical billing is a payment practice within the United States health system. The process involves a healthcare provider obtaining insurance information from a patient and filing, following up on and appealing claims with health insurance companies in order to receive payment for services rendered, such as testing, treatments, and procedures.

The medical billing process is a process that involves a third party payer, which can be an insurance company or the patient. Medical billing results in claims. The claims are billing invoices for medical services rendered to patients. The entire procedure involved in this is known as the billing cycle sometimes referred to as Revenue Cycle Management. Revenue Cycle Management involves managing claims, payment and billing. This can take anywhere from several days to several months to complete, and require several interactions before a resolution is reached. The relationship between a health care provider and insurance company is that of a vendor to a subcontractor. Health care providers are contracted with insurance companies to provide health care service.

Next we will discuss process in Medical Billing