In order to ensure timely payments, practices need well-trained billers and coders who can understand the difference between Medicare and Medicaid billing claims.
Why you need expert staff for Medicare billing?
A large number of providers, including institutions and licensed individuals get majority of their income from treatment of Medicare beneficiaries. Since this program is composed of four parts, covering a broad range of medical services, billers and coders need to be expert in Medicare billing which is very similar to commercial medical billing. They need to be trained in assigning correct codes and interacting with Medicare programs to gain appropriate payment for services.
Compared to a standard insurance company, Medicare has more specific processes, rules and regulations that must be followed by the in-house coders and billers. Training will also be required for them in Medicare medical billing for answering patient queries.