A patient on visiting a physician becomes a part of a large and complex healthcare system. Healthcare network involves three parties. The patient, Healthcare provider which can be a physician, hospital, or any place where medical services are provided. The third party is the insurance company or payor.

The medical biller or the physician billing services or the medical billing management negotiates and arranges for payment between these parties. The healthcare provider needs to be paid for his services and the biller ensures that the payors or both payors and patients are billed for these medical services. Professional medical billing services like US Medical Billing Services carry out all the services on behalf of the healthcare providers. As we do medical billing consulting services, you can talk to us regarding your needs.

The entity doing the medical billing for physicians/ providers collects all the patient’s information, the diagnosis, procedures performed, and why it was performed. Certified Medical Coders will code the diagnosis and procedures from the medical records. Details of the patient’s insurance coverage are obtained. This bill, which is called a claim, contains demographic information regarding the patient, medical history, cost of the procedure, insurance coverage. It is submitted to the concerned payors for reimbursement after ensuring that it is compliant. The payor processes a clean claim and the payment to the provider is made within their processing time. At US Medical Billing Services, our experts prepare clean claims with minimal rejections. We do medical billing services for small practices as well as for hospitals.

The payor processes a clean claim and the payment to the provider is made within their processing time. When insurance coverage does not cover the entire procedure’s cost, the patient has to bear the balance amount. The billers followup with patients to pay up the balances. In case a claim is rejected by a payor, the biller has to go through the process of rectifying errors and resubmitting the bill. The payments received are posted against the claim in the patient’s account.

All the steps of the entire billing process are carried out with efficiency by our team of experienced billers who are among the best medical billing service providers. As a medical billing and management services company, we can execute one, multiple, or all billing services for you. Whether it be private practice billing services or hospital billing services, we serve with the same focus and attention to detail.