Medical billing involves submitting bills to insurance companies in a standardized format for medical services provided by doctors to patients. The main parties involved are the patient, provider, billing office, and insurance company. The responsibilities of the billing office include properly coding bills, ensuring compliance with insurance rules, maintaining records, filing claims, and following up. Billing offices have various departments like coding, claims processing, and accounts receivable. There are two main types of insurance companies - federal programs like Medicare and Medicaid, and private commercial insurers like Aetna and Blue Cross Blue Shield.

1. MEDICAL BILLING PRESENTATION ON BY ELIZABETH TOJO

2. DEFINITION MEDICAL BILLING IS A PROCESS OF SUBMISSION OF BILLS TO THE INSURANCE COMPANY IN A SPECIFIED FORMAT FOR THE SERVICE RENDERED BY THE PHYSICIAN ON THE PATIENT.

3. 3 MAIN PARTIES PATIENT PROVIDER BILLING OFFICE CLEARING HOUSE INSURANCE COMPANY

4. BILLING OFFICE

5. RESPONSIBILITIES OF A BO CODING STRICT ADHERENCE TO THE RULES & REGULATIONS OF THE INSURANCE COMPANIES ASSURING HIGH PRODUCTIVITY & REIMBURSEMENT FOLLOWING UP WITH THE INS CO & THE PATIENTS FILING CLAIMS TO THE INSURANCE COMPANY MAINTAINING PATIENT REOCRDS AND ACCOUNTS

6. DEPARTMENTS IN A BO COMPLIANCES CODING CHARGE ENTRY PRINTING PRE-VERIFICATION AUDIT / QUALITY CONTROL CLAIMS & TRANSMISSIONS CASH POSTING ACOUNTS RECEIVABLES

7. INSURANCE COMPANIES THERE ARE TWO KINDS OF INSURANCE COMPANIES. THEY ARE : FEDERAL INSURANCE COMPANIES COMMERCIAL INSURANCE COMPANIES

8. FEDERAL INSURANCE COMPANIES GOVERNMENT INSURANCE COMPANIES MOTIVE IS WELFARE EXAMPLES : MEDICARE MEDICAID CHAMPUS CHAMPVA

9. COMMERCIAL INSURANCE COMPANIES PRIVATE INSURANCE COMPANIES MOTIVE IS PROFIT EXAMPLES: AETNA CIGNA BCBS

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