Medical Billing Training in Hyderabad - PowerPoint PPT Presentation

View by Category
About This Presentation

Medical Billing Training in Hyderabad


ikyaglobaledu provides Medical Billing Training in Hyderabad with 100% placement assistance – PowerPoint PPT presentation

Number of Views:124


Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Medical Billing Training in Hyderabad

Medical Billing Training Trained to Bill!
Medical billing is the system of putting forward
and to following up on claims with the health
insurance companies so as to receive payment for
services given by a healthcare provider. This
process is also used for most of the insurance
companies, private companies, or government
sponsored programs.
A medical biller is the person is responsible for
all the paperwork relating to patient records in
the clinics and hospitals and physicians offices
and nursing homes and other healthcare-related
facilities. A medical biller works jointly with
the insurance companies to administer medical
bills acquired by patients, and make sure that
respective health care providers are remunerated
for all services provided.
  • The medical billing process is an interaction
    between the health care provider and insurance
    company, which is the payer. This process can
    range from several days to several months to
    complete. This requires many interactions before
    an actual resolution is reached. The health care
    providers are contracted with the insurance
    companies to provide for the health care services.

  • For many decades, medical billing was done on
    paper. However, with the arrival of medical
    practice management software, known as health
    information systems, it became possible to
    efficiently manage large amounts of claims. There
    have been many software companies that have come
    up to provide medical billing software to this
    lucrative market. Also, there are several
    companies that offer portal solutions through
    their own web-interfaces, which neutralises the
    cost of individually licensed software packages.
    Due to the fast changing requirements by the U.S.
    health insurance companies, several areas of
    medical billing and medical office management
    have led to the requirement for specialized

HIPPA In recent years, the medical billing field
has been challenged by the introduction of Health
Insurance Portability and Accountability Act
(HIPAA). HIPAA consists of rules and
regulations which the hospitals, healthcare
providers, doctors, and health plans should
follow so as to provide their services suitably
and also make sure that there is no breach of
confidence and at the same time maintaining
patient records. From the year 2005, medical
providers have been prodded to send their claims
electronically in compliance with HIPAA to
receive their payment. HIPAA regulations not only
affected medical billing service providers and
insurance companies, but many patients found that
their respective insurance companies and health
care providers needed additional waivers and
paperwork that were related to HIPAA.
Due to these changes, software companies and
medical offices had to spend thousands of dollars
on the new technology and forced to redesign
business processes and software so as to become
compliant with this new act. This was because the
providers who unintentionally released Protected
Health Information to the wrong individual, would
now be liable to legal proceeding under HIPAA.
HIPAA mainly requires maintained privacy of both
the patient's personal and demographic details as
well as the provider's details.
The Role of Medical Billing Service In many
cases, particularly as a procedure grows beyond
its early capacity to handle with its own rules
and regulation, the providers outsource their
medical billing process to a third party that is
known as a medical billing service. These medical
billing services take a percentage of a
practice's revenues for their payment. One of
the goals of these entities is to bring down the
weight of paperwork for the medical staff and to
regain lost effectiveness caused by workload
saturation, making way for further practice
Medical billing rules also seem to be complex and
they often change. Keeping the staff and the
billing systems up-to-date with the latest
billing rules can become a big distraction for
health care providers and the administrators.
Another main objective of a medical billing
service is to use its billing mastery to focus on
maximizing insurance payments by rightly
processing the provider's claims. They are singly
accountable for taking codes from the coders and
providing exact bills that are then forwarded to
the insurance company. It is the job of a medical
billing professional to accomplish the billing
process in a way that it will avoid refusals from
the insurance companies. Additionally, the
recent tilt in this area towards outsourcing, has
shown a capacity to reduce costs. Also, in
addition, many companies are getting ready to
offer EMR, HER, and RCM to increase customer
satisfaction however, as an industry the
consumer satisfaction levels are still very low.
Medical Billing Job Qualifications The medical
billing field is one of the fastest growing and
lucrative areas of the health care industry.
Hospitals and doctors offices are looking out to
hire professionals who meet specific
qualifications regarding health insurance
knowledge and claim filing procedures with the
ability to multitask. A proficient medical
billing specialist can vastly bring down the
amount of time it takes for a hospital to be
compensated for an insurance claim.
Medical Billing Certification Although
certification in the medical billing field is
voluntary, more and more employers are looking
out to employ professionals with certification
since it needs less on-the-job training. Finding
a good medical billing institute that specializes
not only in medical billing training but also one
that helps get a candidate certified would be the
best way to go. Successful completion of the test
will very much increase the candidate's chances
of getting employment in the medical billing
Computer Skills Computer skills are a mandatory
qualification in the medical billing field. The
professionals should have expert knowledge of
proprietary billing systems so as to successfully
follow the individual claims procedures for each
insurance company that the hospital or other
medical facility is looking for compensation from.
Legal Knowledge The medical billing
professionals should have working facts of
government practice regarding privacy of medical
records and what part of the records may be seen
by whom and under what occasion. An understanding
of HIPAA regulation is mandatory in both
shielding the hospital from accountability and
also to make sure the medical biller retains his
14 is one of the leading names in
providing medical billing training and
certification for students and professionals who
are interested in starting a lucrative career in
medical billing.