Medical billing is an important payment procedure in the United States healthcare system. This service is offered to patients through a fee agreement between a medical insurance company and the physician. The service involves a doctor collecting insurance verification from a patient, sending the bill to the insurance company, and following up with payments to pay for the services actually rendered. In some instances, the seller may require the physician to use a specific form to submit to the insurance company. If a physician submits incorrect information or does not meet the requirements for billing, he or she may be liable to pay a portion of the balance.
Medical coding is a process used to determine the cost of services rendered by a physician and to assign an appropriate rate to such services. It is a complex task performed by health care providers and most providers hire outside firms to perform this task on their behalf. To encourage medical billing companies and providers to work together, the government has mandated certain regulations. Many states now require that providers use a coding strategy that meets national standards, there must be uniform payment procedures and reports must be available to the public regarding coding productivity. These requirements were put in place to encourage uniformity and productivity within the healthcare system.
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