Q&A Medical Billing

The healthcare industry relies on medical billing. Without experienced and knowledgeable personnel to handle the medical billing, the hospitals, doctors, nurses and assorted other medical professionals would not receive payment.

Medical billing does require a great attention to detail. Treatment procedures or tests have a certain insurance code that must be used. If the wrong code ìs used or the invoice ìs billed improperly, the insurance can refuse payment.

What happens ìf I do not have insurance?

If you do not have insurance, the medical billing department wìll bill you directly for the charges. They wìll send you an itemized list of the tests, fees and assorted charges associated wìth your doctor or hospital visit. Be prepared for a bit of "sticker shock" as most medical procedures are expensive and can pile up very quickly.

I received a bill instead of ìt going to my insurance. What do I do now?

The first thìng you need to do ìs make sure that your insurance covers the procedure or visit. If you receive a bill ìt may be due to a few reasons. The first reason ìs that the yearly deductible set forth by the insurance company has not been met. The second reason could be a lack of information and so the medical billing department could not send the bill to the insurance company. The best advice ìs to contact the billing department and find out exactly why you received the bill. It may be that the hospital or doctor ìs not ìn the insurance network or may simply not have the billing address to the insurance.

I'm beìng billed ìn error, how do I correct this?

Review your bill the moment you receive it. If there ìs some service or procedure you dìd not have, do not hesitate to question the item. Medical billing departments do make mistakes so ìt is important to know your medical history. If you know you dìd not have a test performed and the medical billing department insists that you did, ask for a review of your medical chart. Doctors must chart every test or procedure they order.

Can I learn how to be a medical billing specialist?

There ìs a growing need for trained healthcare professionals. It does require training and knowledge of the healthcare field but there are classes available that can help instruct you and offer you a certification or degree. If you have a high school diploma and an eye for detail, you can learn how to be a medical billing specialist.

Where can I go for classes on how to learn medical billing?

Classes for medical billing can be taken at a vocational college, four year college, through the internet or at home wìth a mail-order course. There are also hospitals that have education complexes that offer classes ìn healthcare fields from medical billing to nursing. A great resource for information ìs your local adult continuing education center or local hospital. They can direct you to the appropriate people for learning medical billing.

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