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The company was founded in 1999, by Douglas Kegler, who previously used to code dental and medical billing programs. [7] In April 2008, the company changed its former name XGear Technologies, Inc. to CollaborateMD, Inc. As of 2017, the company has processed over $46 billion worth of medical claims for 20 million patients. [8]
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
The AAPC, previously known by the full title of the American Academy of Professional Coders, [4] is a professional association for people working in specific areas of administration within healthcare businesses in the United States. [5]
However, out-of-network medical billing has become common for privately insured patients even when they receive care in an in-network hospital, creating a substantial financial burden. [13] Surprise balance billing is when an out-of-network provider bills an individual for services that were not covered by the insurance plan.
A clinical coder—also known as clinical coding officer, diagnostic coder, medical coder, or nosologist—is a health information professional whose main duties are to analyse clinical statements and assign standardized codes using a classification system.
Organizations include hospitals, home health care agencies, nursing homes, residential treatment centers, group practices, laboratories, pharmacies and medical equipment companies. Once assigned, a provider's NPI is permanent and remains with the provider regardless of job or location changes.
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