Medical Billing Software
Healthcare has become one of the fastest growing industries in the United States! This growth can be attributed to the recent legislation and changes in medical insurance. With the creation of HMO's, PPO's, and managed care, physicians need employees who understand the complexities of insurance billing. Because of this demand, medical billing has become one of the most popular careers in the nation.
Responsibilities involve accurately completing claim forms, promptly billing insurance companies, and adhering to each insurance carrier's policies and procedures.
Hospitals, private practices and clinics could not survive without someone who efficiently handles their day-to-day medical billing procedures If you're looking for a home-based business that can help you pull in $20,000 to $45,000 a year using your computer, a work-at-home opportunity doing medical billing may sound like the perfect choice.
4 Medical Billing is committed to you reaching your full revenue potential. Twenty five percent of all medical revenues are lost through improper billing practices and training. Practices are often under priced, codes are not reported, diagnosis are not clear. Medical Billing, Coding Audit And Analysis, Compliance Review, Provider Training can be weaknesses.
We can remove these obstacles reverse weakness and increase revenues. Your time in the office as well as you time out of the office is valuable and expensive. Outsourcing your billing will cut your costs; increase your revenues while giving your more time of your own.
Commonly used terms on this site:
ANSI X12 837 Variable length file format for electronic submission of claim data (developed by the American National Standards Institute's Health Data Committee X12)
AAPCC Adjusted Average Per Capita Cost
CCI Correct Coding Initiative (type of edit to detect unbundling of claims or claims that should not appear together)
CHPP Center for Health Plans and Providers
CMS Centers for Medicare and Medicaid Services (formerly HCFA)
CPT-4 Current Procedural Terminology, 4th edition (for coding physician services and procedures)
DRG Diagnosis Related Group
EDI Electronic Data Interchange
EMC Electronic Media Claim
EOMB Explanation of Medicare Benefits
CFA Health Care Financing Administration (now called CMS)
HCFA 1450 (Also called UB-92) - Medicare Part A claim filing form/ form used for Inpatient AND Outpatient Encounter Coding
HCFA 1500 Medicare Part B claim filing form/ form used for Physician Encounter Coding
HCIS HCFA Customer Information System
HCPCS HCFA Common Procedure Coding System (Uses three levels of codes: CPT-4, alphanumeric, and local codes)
HDC HCFA Data Center
ICN Health Insurance Claim Number
HIPAA Health Insurance Portability and Accountability Act
ICD-9-CM International Classification of Diseases - 9th Edition - Clinical Modification (for coding diagnoses)
ICN Internal Code Number (See also DCN - Document Control Number)
M+C Medicare + Choice
M+C NSF Medicare + Choice National Standard Format
MR Medical Review
NCH National Claims History
NDM Network Data Mover
PFFS Private Fee-for-Service Plan
UB-92 (Also called HCFA 1450 Form) HCFA Medicare Part A Form/Form used for Hospital Inpatient AND Outpatient Encounter Data filing
United States (US): New York, Los Angeles, Chicago, Houston, Phoenix, Philadelphia, San Antonio, San Diego, Dallas, San Jose, Austin, Jacksonville, San Francisco, Columbus, Fort Worth, Indianapolis, Charlotte, Seattle, Denver, Washington, Boston, El Paso, Detroit, Nashville-Davidson, Memphis, Portland, Oklahoma City, Las Vegas, Louisville
United Kingdom (UK): London, Birmingham, Leeds, Glasgow, Sheffield, Bradford, Liverpool, Edinburgh, Manchester, Bristol, Kirklees, Fife, Wirral, North Lanarkshire, Wakefield, Cardiff, Dudley, Wigan, East Riding, South Lanarkshire, Coventry, Belfast, Leicester, Sunderland, Sandwell, Doncaster, Stockport, Sefton, Nottingham
Canada: Toronto, Montreal, Calgary, Ottawa, Edmonton, Mississauga, North York, Winnipeg, Vancouver, Scarborough, Québec, Hamilton, Brampton, Surrey, Laval, Halifax, Etobicoke, London, Okanagan, Victoria, Windsor, Markham, Oshawa, Gatineau, Vaughan, Kitchener, Longueuil, Burnaby, Ladner, Saskatoon
Australia: Sydney, Melbourne, Brisbane, Perth, Adelaide, Gold Coast, Canberra, Newcastle, Wollongong, Logan City, Geelong, Hobart, Townsville, Cairns, Toowoomba, Darwin, Rockingham, Launceston, Bendigo, Ballarat, Mandurah, Mackay, Bundaberg, Bunbury, Maitland, Armadale, Rockhampton, Adelaide Hills, South Brisbane, Hervey Bay
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