The medical billing process encompasses every interaction between patients and healthcare providers, starting from pre-registration through to visit completion. It involves tasks such as extracting patient data, verifying eligibility, cross-referencing medical billing codes, and processing healthcare insurance claims. However, medical billing often proves to be a time-consuming endeavor for healthcare providers. Read this presentation to know more.

1. Medical Billing
Automation
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LET THE BUSINESS FLOW
Achieve Faster Reimbursement
Using Automation and AI

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Medical Billing Process in Healthcare
The medical billing process encompasses
every interaction between patients and
healthcare providers, starting from pre-
registration through to visit completion.
It involves tasks such as extracting
patient data, verifying eligibility, cross-
referencing medical billing codes, and
processing healthcare insurance claims.
However, medical billing often proves to
be a time-consuming endeavor for
healthcare providers.

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Steps in Medical Billing Process
1. Patient
Registration
2. Insurance
Eligibility Check
3. Patient
Appointment
4. Medical Coding
& Compliance
Check
5. Claims
Transmission &
Adjudication
6. Patient
Statement
generation
7. Patient
Follow Up

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Challenges with Medical Billing
An estimated 80% of US
medical bills contain
errors.
Poor billing practices
cause doctors in the US to
lose an estimated $125
billion each year.
77% of providers say it
takes more than a month
to collect payment.
75% of providers primarily
use paper and manual
processes for collections.

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Why Medical Billing Need Automation?
1. Lack of proper
documentation
2. Incompatible
legacy system
3. Medical Coding
Errors
Healthcare providers deal with a high
volume medical bills and maintain all the
billing checks. Verifying healthcare data,
billing and claims take a lion share of
time for healthcare providers. Apart
from this other challenges healthcare
providers face are-

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What to Automate in Medical Billing Process?
Medical billing process starts from
the point of patient registration
and end with payment
reimbursement for claims. Using
medical billing automation at each
and every steps of medical process
enable healthcare service desk to
get rid of manual and repetitive
tasks and focus on patient care.
Process
Patient Registration
Insurance Eligibility
Check
Patient Appointment
Medical Coding &
Compliance Check
Claims Transmission
& Adjudication
Patient Statement
generation
Patient
Follow Up
AI
Bot
Utilize AI algorithms to understand user input and
gather information like medical history and
appointment preference and update data into
healthcare system
Automatically Capture patient insurance detail using
OCR and Al from patient ID card and check insurance
eligibility by logging into
Check the physician's availability automatically from
healthcare system and schedule appointment and
generate reminders
Analyze medical documents using Al and assign
appropriate medical codes for billing to ensure that
these medical codes HIPAA regulations
Streamline claims transmission error free and assess
claims by comparing them against the pre-defined rules,
policy terms, and historical data for claims adjudication
Use email automation to share patient statement and
explanation of benefits to clarify coverage details
Create automatic follow up with patient regarding
upcoming payments and overdue balance

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Medical Billing Automation Benefits
By taking over repetitive tasks
involves in medical billing process,
automation and AI solution in
medical billing enable faster
reimbursement and enhance
employee productivity. Some of
the medical billing benefits are-
Ensures
precise claims
submission
Streamlines
billing processes
for faster
reimbursement
Reduces labor
costs by
automating
Repetitive
tasks
Contributes
to improved
Patient
satisfaction
Maintains
compliance with
data protection
regulations
Reduces the
likelihood of
errors and
claim denials
Improves
transparency
with seamless
communication
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