Medical billing and medical coding are two related fields. People who work in these fields are required to use similar skills but there are different methods used in each job. Many medical billers can be medical coders, and vice versa, simply because the skill sets will overlap. Medical billers are dedicated to providing accurate and timely reimbursement base on the medical codes that are used in the doctor’s office. Medical coders aren’t as focused on reimbursement issues, but rather using the right codes when it comes to billing so the medical billers have an easier time dealing with money-related aspects of running a medical practice. Medical coders deal with a wide variety of codes and medical billers are generally more knowledgeable about insurance restrictions, claim submission rules, and what codes can be billed to various insurance companies.
More about medical coding:
Medical coding is the foundation of both professional fields. Coders are generally interested in complying with universal code meanings and it requires learning the language. The language is made up of a wide variety of procedure codes and diagnosis codes and many times, there are specialized codes used for Medicare and other levels of patient care.
More about medical billing:
Each medical practice needs a well-trained medical billing specialist to offer medical services. Successful medical billers will quickly and efficiently file claims without coding or clerical errors so the office receives payment quickly. Medical billers need to be extremely well-versed in the variety of healthcare contracts and insurance lingo that is out there, and make sure that the requirements that are out there are adhered to at all times. Medicare, Medicaid, and other insurances each have rules and guidelines to follow and a medical biller will become familiar with these so there are no slip-ups or issues of non-payment.
Whether it’s coding or billing, medical professionals working in this field learn to navigate the ins and outs of insurance claims and unique medical services so they can accurately describe each patient visit, keep it on record, and see that each service has been paid appropriately and in a timely manner. Do you have additional questions on how medical coding or medical billing works or need additional help on using the medical billing system for your practice? Contact our professional and experienced team at MBA Medical and we’ll help get you the additional information you need to keep your medical practice running with professional efficiency.
Guide: Accountable Care Organizations
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