Medical Billing Case Study

The main contact person that would handle the process and procedures for billing and reimbursement in health care office is the Medical Office Specialist. They would clearly know the rules, regulations and requirements of billing as well as the time frame for submitting health care claims and receiving payments from insurance companies. The Medical Office Specialist has a tremendous responsibility, since they are the liable party for any fraudulent billing. They are typically the first person that can be legally prosecuted for their actions, if fraud is proven. There are joint efforts by several task forces like Health Insurance Portability and Accountability Act (HIPAA) and the Office of Attorney General (OIG), just to name two of them, that
I have known for many years that Medical Billing and Coding can be a frightening field to work. The person handling the task is ultimately responsible, as well as the provider can face legal ramifications. Most definitely a lot of consideration needs to be taken in to count before entering the field of Medical Billing and Coding. The person in this position, must have a strong attention to detail in every facet of their job. Here are some really good tips to adhere to as given by the FBI.gov website for us to follow to avoid going down the wrong road of our career: Never sign blank insurance claim forms.
Never give blanket authorization to a medical provider to bill for services rendered.
Ask your medical providers what they will charge and what you will be expected to pay out-of-pocket.
Carefully review your insurer’s explanation of the benefits statement. Call your insurer and provider if you have