yes
The American Medical Association provides a detailed article on medical insurance billing and coding. If this is not good enough then other insurance company probably explains in online. If this still doesn't suffice one could go to their local insurance company for guidance.
Medical billing and coding is a process used to submit claims to an insurance company. First a claim must be submitted and then the claim is approved or rejected by the insurance company. If the claim is approved, a payment is sent out.
The medical billing process is an interaction between a health care provider and the insurance company (payer). The entirety of this interaction is known as the billing cycle.
So the healthcare provider can be reimbursed his contractual amount from the insurance company for his services.
Medicare is a government subsidized medical insurance program. There is no company called "Medicare Billing". Medicare billing information, however, can be found on the United States Government Medicare website.
Medical billing is the intermediate between insurance, hospital and patients
Medical coding is the first step in medical billing. The doctors will put the practices performed on a sheet in code. A medical coder will translate that code so that the appropriate person, the patient or insurance company, may be billed.
Medical billing is the process of submitting and following up on claims to insurance companies in order to receive payment. A professional billing center/practice management company is responsible for obtaining return for health care providers.
Yes. This is fraud.
No, they shouldn't be billing you for the provider discount if the hospital is contracted with the health insurance plan.
You can find more information on medical billing and coding on this site : http://www.everest.edu/programs/category/medical-insurance-billing-and-coding.
Medical Billing uses unique medical codes tied to any supplies or procedure to submit to insurance companies for reimbursement. The medical codes must be verified by a certified professional prior to submission.