Thursday, October 25, 2007

Understanding the Medical Billing and Coding...

...needs of the office to which you are assigned, and making sure insurance claims are processed in an organized and proficient manner will not only reduce the burden on a doctor , but also improve patient care. With a primary responsibility to enter the details of medical diagnosis, treatments and procedures into various and sophisticated databases, the medical coder also maintains the necessary updates to the patient's medical records. This information, after being forwarded to the appropriate insurance provider, allows for proper reimbursement to the practicing physician.

Due to the access of knowledge of such detailed information, the medical biller is who oftentimes the one who determines, regarding reimbursement to the office, to whom the invoice is sent for a particular procedure. And, it is considered an acceptable industry practice for the medical biller to talk directly to either the insurance provider or Medicare to assist in maximizing insurance benefits on behalf of the patient.

To find out more about upcoming classes for medical billing and coding at Manhattan Institute, please call 212-564-1234


posted by Manhattan Institute @ 11:16 AM 0 Comments


Tuesday, October 23, 2007

Working as a Medical Biller...

...requires knowledge of and access to the patients' medical records as it pertains to health information for insurance purposes. Medical billers, also known as coding specialists, assign a specific code to each medical diagnosis or procedure, and while using a software program, determine the amount of reimbursement that will be due to the hospital or doctor's office.

There are several resources available to help the medical coder/biller properly code insurance forms ie., specialized software programs or technical classification manuals. These tools provide information on several hundred diagnosis, which then refer the medical coder to the proper code for reimbursement from either Medicare or private health insurance provider. Besides using these industry specific tools, the medical biller must maintain open communication with the physician, any other assigned health care professional and the insurance provider to make certain that diagnosis is clarified and additional requests for information receive an adequate and timely response.

In just 3 weeks, you can complete training to become a medical biller at Manhattan Institute. For more info, or to find out how to register for the next class, please call 212-564-1234.

posted by Manhattan Institute @ 8:38 AM 0 Comments