A. What is Medical Billing:
Medical billing is the process of submitting and
following up on claims to 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-owned insurance.
For several decades, medical billing was done almost
entirely on paper. However, with the advent of medical practice management software also
known as health information systems it has become possible to efficiently
manage large amounts of claims. Many software
companies have arisen to provide medical billing software to this
particularly lucrative segment of the market.
The billing field has been challenged in recent years due
to the introduction of the Health Insurance
Portability and Accountability Act (HIPAA).
HIPAA is a set of rules and regulations which hospitals,
doctors, healthcare providers and health plans must follow in order to provide
their services aptly and ensure that there is no breach of confidence while
maintaining patient records.
Since 2005, medical providers have been urged to electronically
send their claims in compliance with HIPAA to receive their payment.
Act protects health insurance of workers and their
families when they change or lose a job. Calls for the electronic transmission
of major financial and administrative dealings, including billing, electronic
claims processing, as well as reimbursement advice.
Medical billing service providers and insurance companies
were not the only ones affected by HIPAA regulations - many patients found that
their insurance companies and health care providers required additional waivers
and paperwork related to HIPAA.
As a result of these changes, software companies and
medical offices spent thousands of dollars on new technology
and were forced to redesign business processes and software in order to become
compliant with this new act. If an insured claim is billed by another insured
with a different name than that might be a big issue by the insurance
companies.
B. How it works:

Flow Diagram:
- Billing Process
- Electronic Billing Process
- Payment
C. Company:
4eGuru
Inc. is a leading medical software developer
and provider. 4eGuru has developed and launched several medical software
products such as –
- Practice Management
- Insurance claim Billing
- Electronic Medical record (EMR)
- Web-based Roster Management
- Payroll management
- PDA and handheld application for
medical area.
For details
please visit our websites:
http://www.4eguru.com / http://www.emr4clinc.com
4eGuru also
offer and provide “Insurance claim billing” training classes.
D.
Training Program: Medical Insurance Claim & Billing
Course I: Basic Training
Duration: Two Months
Number of
Hours:
- 2 hours per day
- 10 hours per week
- 40 hours per months
- 80 hours per course
Course
Unit: 2.0
Class
Size: small
Class
Timing: M-F 10am
to 12pm (Classes can be arranged in weekend)
Pre-requisite:
- Basic Computer skill
- Basic accounting skill
- Basic Internet skill
- Basic phone call skill
Course
Material: Medical
billing basic concepts, medical software basic concepts, billing software
package training, lab work, actual customer site training.
Course
Fee: $1200.00
Course II: Advance Training
Duration: Two Months
Number of
Hours:
- 2 hours per day
- 10 hours per week
- 40 hours per months
- 80 hours per course
Course
Unit: 2.0
Class
Size: small
Class
Timing: M-F 10am
to 12pm (Classes can be arranged in weekend)
Pre-requisite:
- Basic Medical billing skill
- Basic Medical Software skill
Course
Material: Advance Medical
billing concepts, Advance Medical software concepts, Insurance claim billing
training, Insurance Collection training, Advance Lab work, actual customer site
training.
Course
Fee: $2000.00
E. Salary Chart: Courtesy by payScale
Salary Chart
Median Salary by Job
Degree: medical billing and coding

E. Contact Information:
4eGuru Inc.
500 E. Calaveras Blvd. Suite #313
Milpitas, CA
95035
(408)945-1049
ajayd@4eguru.com
class@emr4clinic.com
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