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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.
Highmark was created in 1977 and in the 1990s by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) based in suburban Harrisburg, and Blue Cross of Western Pennsylvania based in downtown Pittsburgh (now Highmark Blue Cross/Blue Shield).
Medical-bill advocacy is the name generally attributed to the industry that has developed in response to a growing problem of erroneous charges on medical bills.According to the Medical Billing Advocates of America (MBAA), as many as 9 out of 10 bills from hospitals and medical providers include errors that may erroneously inflate the cost of actual healthcare received.
Split billing is the division of a bill for service into two or more parts. Bills may be split to divide work between clients, payers or for reimbursement to different service providers for performing a shared service.
Balance billing, sometimes called surprise billing, is a medical bill from a healthcare provider billing a patient for the difference between the total cost of services being charged and the amount the insurance pays. [1]
The process of sending an invoice (a bill) to customers for goods or services Electronic billing; Medical billing, a payment practice within the United States health system; Telecommunications billing, systems and methods that collect information about calls and other services to be billed to the subscriber
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.
The University of Pittsburgh Medical Center (UPMC) was also the largest health system network in the state by number of hospitals (28), beds (7,022), and operating rooms (379). [ 1 ] [ 2 ] Hospitals in Pennsylvania
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