Departments of billing office

• Charge Entry
• Cash Posting
• Accounts Receivable

Input - Required For Billing

• Software Requirements
  Patient Master Table
  Insurance Master Table
  Provider Master Table
  Referring Physician
  Code Master Table
  Place Of Service
  State / City / Zip Codes
• Documents Required
  Patient Information Sheet
  Charge Ticket
  EOB
  Scrubber Report

Transcription

• Transcription is a process by which the provider gets his voice mail converted into a text file.
• The activity can be carried out at the Physician’s end / outsourced unit.
• This process facilitates the coding activity

Codes

• An uniform language between the Physicians and the Insurance companies
• The reason for the encounter
• Item rendered by a provider or healthcare facility

Nature Of Codes Used:

Procedure Codes

• Translation of medical terminology used to denote service rendered into codes
• Standardized coding system developed by AMA (American Medical Association)
• To help providers communicate accurate information about rendered PROCEDURES to insurance

Diagnosis Codes

• Translation of medical terminology used for understanding the reason for service to be provided into codes.
• Standardized coding system developed by WHO (World Health Organization),
  ICD –9 CM