What is Patient Billing & Collections?

What is Patient Billing & Collections?

As a doctor, your job is to provide excellent patient care - but how do you get paid for it?

Step 1: Medical Billing (Getting the Claim to Insurance)

After you see a patient, your services need to be converted into a bill (claim) that gets sent to the patient’s insurance company. This includes:

• Coding the visit: Every diagnosis, procedure, and treatment is assigned a standardized medical code.
• Submitting the claim: The claim is scrubbed for accuracy prior to being electronically sent to the insurance company for review.
• Tracking the claim: We follow the claim until payment is received and re’s an issue (missing information or denial), we correct it and resubmit the claim.

Step 2: Medical Collections (Getting Paid from Insurance and Patients)

Once the claim is sent, we track payments to make sure you get every dollar owed. This includes:

• Insurance payments: If the insurance provider approves the claim, they pay your practice.
• Denial management: If the claim is denied, we investigate, correct errors, and appeal if necessary.
• Patient billing & follow-up: After insurance pays its portion, the patient is billed for any remaining balance and follow-up until payment is received.

Why Is This Important to You?

• You get paid accurately and on time – no lost revenue.
• Less financial stress – we handle the paperwork; you focus on patient care.
• Faster cash flow – a good system has money moving in quickly.

In short: Billing ensures your services are properly charged, and collections ensure you receive the money.

Take Control of your Financial Future

We’re committed to helping your practice achieve financial stability and growth. 

Schedule a free virtual consultation today to discover how our customized solutions can simplify your billing process and maximize revenue.