Medical Billing Process
How does it work?
Medical Billing Process
We believe that the whole process revolves around having efficient staff who understands that the most important thing about medical billing and collections is information. Proper information gathering is the most important step. The process starts at the front desk. We have given a brief explanation below on how our process works. Please contact us if you have any further questions.
Front Desk
A new patient or an existing patient contacts the office. The front desk then collects all insurance information (by phone, fax or in person, if the patient is a walk in). This information is then sent to OSI, our medical billing company. This is then verified and authorized relative to the type of care the patient is seeking. If it is a referral, a special pre-authorization may need to be obtained from the respective primary care physician.
Insurance Verification and authorization
On an initial visit; after the front desk collects all the information, insurance information is then transferred to India (by fax, scan, e-mail or by accessing the database at the client site). The insurance is immediately verified and sent back to you. This would also be entered in the system for billing purposes. Any information pertaining to the client that is needed, including prior verification for procedures or treatment will be verified. The front desk then proceeds to inform the patient on his/her deductibles, co-payments, eligibility and so on.
Consultation
The patient then proceeds to see the physician or the respective provider. After the patient is advised on the care that is necessary for them, it is determined if any special preauthorization is needed, and that information is transferred to the team with the right amount of documentation and the special authorization taken care of immediately.
Coding
Medical coding is the next step toward billing process; by putting the proper code on a proper document for the visit. This can be done by the physician or the transcription department. OSI does pre coding and coding for medical offices, may or may not be part of OSI services.
