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2. Medical Billing and
Collection Process
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STEP 1: Patient Scheduling
You want to maximize your care team's
productivity and see as many revenue-
generating patients as possible
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Patient registration is a complex process that
requires a considerable amount of
preliminary patient data input, including:
Collection of patient demographic
information, including personal and contact
information
STEP 2: Patient Registration
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STEP 2: Insurance Eligibility
Verification
The process of obtaining the insurance eligibility
verification of a patient is necessary to insure that the
patient has coverage, services that are being provided
are covered, denials and appeals can be minimized and
payments are expedited at the appropriate rates.
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STEP 4: Charge Entry
Charge entry is one of the key areas in medical billing.
In the medical billing charge entry process, created
patient accounts are assigned with the appropriate $
value as per the coding and appropriate fee schedule.
The charges entered will determine the
reimbursements for physician's service.
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STEP 5: Claim submission
After a billing encounter, the provider gathers all relevant
information, intake forms and the proper services
documentation and submits the claim for payment. This
is a time-consuming and labor intensive process.
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STEP 6: Payment Posting
Posting of insurance payments involves logging
the payment into the practice management or billing software.
Insurance payers typically lump payments together for several
claims in one check or electronic funds deposit. This is reflected
on the ERA.
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