Medical billing is a process by which providers get paid in the US healthcare system. It is also called insurance billing in which insurance companies (e.g. Medicare) reimburse practitioners for their services to the patients. 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.
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.
As a medical billing service, ‘QPP MIPS’ has a claim-approval rate in the late 90s. It implies the precision of our medical billing and coding staff as they are articulate, meticulous, and thorough in their work. A claim’s accuracy is everything when it comes to seamless processing later on. To put this in simple English, it means we must enter the right information from start to finish if we want it to be accepted.
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 also suggests the growing demand for nurses and doctors in the US as we speak and in years to come.