Unique Skill ID: ESDDA01F465DF2A76CE5

Medical Insurance Claims

Medical billing is a payment practice within the United States health system. The process involves a healthcare provider obtaining insurance information from a patient, filing a claim, following up on, and appealing claims with health insurance companies in order to receive payment for services rendered; such as testing, treatments, and procedures. The same process is used for most insurance companies, whether they are private companies or government sponsored programs: Medical coding reports what the diagnosis and treatment were, and prices are applied accordingly. Medical billers are encouraged, but not required by law, to become certified by taking an exam such as the CMRS Exam, RHIA Exam, CPB Exam and others. Certification schools are intended to provide a theoretical grounding for students entering the medical billing field. Some community colleges in the United States offer certificates, or even associate degrees, in the field. Those seeking advancement may be cross-trained in medical coding or transcription or auditing, and may earn a bachelor's or graduate degree in medical information science and technology.

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Claims Processing
Current Procedural Terminology (CPT)
Explanation Of Benefits (EOB)
Health Care Finance Administration (HCFA) Regulations
Healthcare Common Procedure Coding Systems
Insurance Follow-Up
Medical Billing
Reimbursement Regulations
Revenue Cycle Management
Vicarious Liability

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