Who regulates medical billing?
Answer The American Medical Association, which consists of a voluntary membership of doctors, was consulted by Medicare, but ultimately it was Medicare that decided on the system for medical billing and that was later adopted by private insurance companies. Medicare is run by the federal government to provide health insurance for people over age 65 or disabled people and, like all good government departments, is accompanied by an alphabet soup. It was administered by HCFA - Health Care Finance Administration funded by FICA - Federal Insurance Contribution Act. HCFA has recently been renamed CSM. The bottom line is that the whole system was devised by the government. There are several sets of codes used for determining charges. For example E&M codes are used by doctors running outpatient practices. Every possible diagnosis has a code consisting of five digits. Hospitals use another set of codes and medical procedures such as surgeries are described by their own codes. There are thousands of pages of regulations concerning these codes and billing methods, and you can get a degree in the subject. -DJ Craig
Medical billing is not currently a regulated occupation or business in and of itself. However, you can take a longer view. To the extent that most medical bills are sent to an insurer for payment, the manner in which the insurer handles the bill and either pays or denies payment, could come in the perview of the Department of Insurance. Again, though, medical billing is not, per se, regulated by the Department of Insurance.
You can take up the following courses which are mostly offered online and some training centers for a medical billing and coding career: Medical Billing and Coding (has required prerequisites) Medical Billing and Coding with Medical Terminology Medical Billing and Coding with Medical Terminology (includes CBCS) You must have the following courses: Medical coding theory and practice Medical terminology medical coding medical billing
What is the difference between medical billing and coding and medical claims and billing specialist?
All the terms are related to medical billing and coding. Medical billing and coding is the process by which payment for medical services is arranged with either an insurance company or a managed care agency. Billing is the first step in this process. It can be performed by a separate individual, known as a medical billing and claims specialist or also handled by someone who is trained to perform both billing and coding work.
Medical billing company is working as the third party that is used to outsource your medical billing. Medical billing company is also helpful to manage the revenue of the organization by putting the record of all medical expenses. Some medical billing companies like pandmbilling.com offer the universal access to the information related to health industries. pandmbilling.com
Medical billing courses are offered online as well as at many community colleges. It is very important to be sure that the instructor has many years of experience as a medical billing professional. Also, it would be beneficial to choose a medical billing course that has instructors that are experienced in your specific area of interest. For example; if you wanted to get a job as a medical billing and coding specialist you would expect…
A reliable medical billing software is reliable when it's been made secure enough to manage billing transactions. Also, medical softwares who are HIPAA certified, are definitely reliable. HIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996, the first comprehensive federal protective act ensuring the privacy of patient's personal health information. All healthcare practice management software today, including medical billing and coding software, must be HIPAA compliant medical billing software. When…
If one is interested in taking an online course for medical billing certification, there are a number of options. Some companies that provide this course include ExpertRating, Medical Billing Course and Drexel University Online. Medical billing isn't exactly popular among people in the allied healthcare field. And who could blame them? Most people have a natural aversion to numbers. But what not a lot of people don't know is that medical billing presents a lot…
Medical billing and coding certificate is not like a college course that has credits for the subjects/courses to be taken. Medical billing isn't exactly popular among people in the allied healthcare field. And who could blame them? Most people have a natural aversion to numbers. But what not a lot of people don't know is that medical billing presents a lot of opportunities to those who are willing to study it. This is why a…
I'm note sure where exactly to find companies that sell medical billing software in CA but the internet has a lot to offer and you can purchase from certain companies by contacting them through the net. Here's one i know that provides the best medical billing software: http://www.healthtec-software.com/Medical-Billing-Software.htm
Medical billing service discusses your advancement occasionally to accomplish the shared objective of expanded income. If you are running a social insurance focus then, outsourcing the charging administration is a beneficial thought. It helps you to stay up with the latest with no blunder. I know a medical billing firm pandmbilling.com that is an excellent service provider for medical billing or to manage your revenue cycle properly.