Outsourced billing services are the new norm of doctors, hospitals, small and large practices in every corner of the country. Medical billing companies have risen in the last twenty years almost as if they were necessary for healthcare professionals in the first place.
It is a process by which providers get paid in the US healthcare system. Also known as insurance billing, insurance companies (e.g. Medicare) reimburse practitioners for their services to the patients through this process. The services and procedures map onto a claim form through a series of codes (ICD-10 and CPT), after which it goes to the clearinghouse.
These healthcare clearinghouses are intermediaries who forward claims information from providers to insurance companies. To undergo ‘claims scrubbing’, they check the medical claims for errors and their compatibility with the payer’s software.