Medical Billing Wiki
Welcome to the Medical Billing / Medical Coding Industry Dictionary
This medical billing wiki is a member edited dictionary for all things related to the medical billing and coding industry. The purpose of this wiki is to define and explain the many aspects of the medical billing and coding industry.
Defining the Medical Billing Industry
What is medical billing? Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs. Medical billers are encouraged, but not required by law, to become certified by taking an exam such as the CMRS Exam, RHIA Exam and others. Certification schools are intended to provide a theoretical grounding for students entering the medical billing field.
The medical billing process is an interaction between a health care provider and the insurance company (payer). The entirety of this interaction is known as the billing cycle sometimes referred to as Revenue Cycle Management. This can take anywhere from several days to several months to complete, and require several interactions before a resolution is reached. The relationship between a health care provider and insurance company is that of a vendor to a subcontractor. Health care providers are contracted with insurance companies to provide health care services. The interaction begins with the office visit: a physician or their staff will typically create or update the patient's medical record... Read more: Medical Billing
How to Add to the Medical Billing Wiki:
This wiki allows members to add or edit entries that pertain to the medical billing and coding industry as a whole. Any entries added that are considered spam or do not pertain to medical billing and/or medical coding in some manner, will be removed by admin.
1. Login - or - Create an Account to add and/or edit dictionary entries.
2. Search for the entry you want to add or edit, if not found you can click "create" the page for your search and add it to the wiki. If the page exists, you can click "edit" to add or submit changes to the page.
Partner with the Medical Billing Wiki
The medical billing wiki is quite an undertaking, as such, its founders are looking for partners within the industry. If you are interested in becoming a partner click here to learn more.
