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Medical Billing - Not Just A Job By Michael Russell A lot
of people think that they're just going to get a job in the
medical billing industry, like it's the same as going to a
Burger King and telling the manager that you know how to throw
a hamburger patty on a grill and some fries in a vat of oil.
This is not so the case with medical billing,
regardless of what part of the industry you get into. There
is extensive training involved and a number of rules and regulations
that you need to be aware of. On top of all that, you better
have a good handle on technology because most medical billing
is pretty advanced in that area.For example. Let's take the
job of the medical biller. First of all, you need to be very
detailed oriented. There is so much involved with submitting
a claim to a carrier, regardless of who the carrier is. On
top of that, each insurance carrier
has its own rules and regulations. This gets really confusing
when you're dealing with the government run carriers like
Medicare and Medicaid.While we're on the subject of rules
and regulations, read the Medicare handbook when you get the
chance. If you're going to be a medical billing person for
Medicare claims, you better know that book backwards and rwards.What
if you don't want to get into the actual billing of claims.
Certainly, there are other jobs in the industry. Sure there
are. You can always become a programmer for a medical billing
software company if you're good with computers and programming
languages. But if you decide to go that route, you better
have a firm knowledge of NSF specifications because most large
medical billing companies send their claims electronically.
To do that, the NSF specifications have to be programmed into
the system. And, if they're a very big company, they may also
insist on UB-92 format as well. These formats are like night
and day.Certainly, there has to be something in this industry
that is easy to do. What about forms maintenance? Somebody
has to take care of all the forms that the billing people
use to send paper claims with. How hard can it be to fill
a request for a HCFA 1500 or a Wheelchair CMN form? Well,
you do have to know what these forms look like.
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