Outsourcing Medical Billing

On December 5, 2011, in Outsourcing, by Business Development Group

Medical billing is the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. The same process used for most insurance companies, whether they are private companies or government-owned.

Whether you are a healthcare provider, or you manage a medical billing company or an insurance company, there may be economic benefits in outsourcing your medical billing to popular offshore outsourcing locations like the Philippines. The majority of companies that outsource any of their business processes overseas do so because of the competitive rates outsourcing companies can offer in comparison with the cost of retaining permanent in-house staff to fulfill the same needs. Keep in mind your company’s financial needs as you look into offshore outsourcing for your medical billing processes.

Hereunder are the types of medical billing services:

A. Patient Demographic Entry
This would include;
1. Patient’s Name
2. Address
3. City
4. State
5. Zip Code
6. Social Security Number
7. Employer Details
8. Insurance Details
a. Primary
b. Secondary
c. Tertiary
d. Guarantor Information

Read related article: Steps to take before Outsourcing

B. Charge Entry
This would include entering details like
1. Date of service
2. Refering Physician
3. Ordering Physician
4. Place of Service
5. Type of Service
6. CPT Codes
7. ICD Codes
8. Modifiers
9. Authorization or Referral Details
10.Co-pay Details.


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