Our Solutions - Professional Medical Billing

 

Professional billing is responsible for the billing of claims generated for work performed by physicians, suppliers and other non-institutional providers for both outpatient and inpatient services. Professional charges are billed on a CMS-1500 form. The CMS-1500 is the red-ink on white paper standard claim form used by physicians and suppliers for claim billing.

While some claims are currently billed on paper, Medicare, Medicaid and most other insurance companies accept electronic claims as the primary billing method. The electronic version of the CMS-1500 is called the 837-P, the P standing for the professional format.

Professional medical billers often have different job duties than institutional medical billers. Professional medical billers are often required to know both billing and coding. If you explore most medical billing training programs offer medical billing and coding together. The majority of these training programs tend to teach more coding than billing. However, medical billers can get on-the-job training for billing but most practices require that billers have at least a coding certification. Billers may also be responsible for charge entry and collecting payments from insurers and patients.

 

 

 

 

 

Prevalent, Inc. a subsidiary of Axcension, Inc.

For more information or to see a demo of our product please contact us today.

14090 Southwest Freeway, Suite 300, Sugar Land, Texas 77478    l    (832) 413-5990  contactus (@) prevalenthealth.com

 

 
 
   

 

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