Getting Started – The Basics (part 2)

In the last post I made, I briefly explained how the billing system works among the three parties: the MD, the insurer and the patient. I spoke in some detail about the importance of having a team that are experts on this part of your healthcare clinic/hospital/setup. I also mentioned the fact that it isn’t too hard to understand or use. It’s just time consuming.

The main form mentioned was the HCFA 1500 and I broke down the different fields in it and the uses of it.

As an extension on that thought, I will now talk about another claims form, the UB 92 form. This is used for billing services which are being provided at a facility or hospital. Main use of it, is billing technical services. In the UB 92 form, there are 83 fields within it. One of which are the: types of health insurance coverage.

The major types of health in insurance coverage have two basic categories:

  1. Federal
  2. Commercial

The process of sending forms such as HCFA 1500 or UB 92 to medical insurers is called medical insurance billing.

Next up, I’ll be talking about some issues in the medical billing industry (such as denied claims) and the importance of the front desk hitting the ground running.

If you have any questions or would like to discuss something, feel free to contact us.

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