Medical billing involves the doctor making the bill for the treatments that the patient has then submitting his report to the insurance company, who will then investigate which treatments are covered before giving the payout. The prices and the medical coding (which reports what the treatment and diagnosis were) are then applied accordingly. Here are the ICD 10 code for hyperlipidemia you need to keep in mind. Medical billers or the ones doing the medical billing services so as to ensure there's no discrepancies between bills can be certified by taking examinations such as the RHIA or CMRS examination, among many others. However, they're not required by law to do so. Then again, as a customer, it's better to err on the side of caution and get billed by a certified medical biller rather than one that hasn't even taken exams.
Other Things to Remember
If you're someone who wishes to enter the medical billing field, you should undergo certification school training, on-the-job training or apprenticeship, then a certification examination such as RHIA or CMRS exams. This biller is usually part of the outsourcing market. He and other agents like him exist to potential reduce costs to primary recipient healthcare billing, thus allowing physicians to worry more about the patient than the bill.
The same could be said of the patient who uses insurance in order to reduce or free costs of bills. Having someone else smoothen out the details so that you won't have to micromanage or even think about it can result in a happy ending for everyone concerned. After all, there are quite a number of challenges that doctors face daily without having to deal with daily administration tasks that a certified outsourced biller can handle on his own.
The biller simplifies the billing process, smoothens out policies, checks coverage, determines if the expenses are reduced, discounted, or altogether dealt with as well as reimburse any short-term cash exchanges between doctor and patient prior to getting the medical bill settled and whatnot. These billers are also responsible for keeping track of any changes and complexities of medical billing regulations so that when everything is said and done, everything is on the up and up.