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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.
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
The typical format of an invoice starts with a header prominently featuring the term "Invoice". This is usually followed by information needed to establish the context of the transactions such as the name, address, and contact information of the parties involved (e.g. buyer and seller) and important dates such as when payment must be received.
According to Essentials of Managed Health Care, as of 2012 the chargemaster file typically included between 20,000 and 50,000 price definitions. [ 13 ] [ 14 ] The Lewin Group analyzed utilization of the chargemaster and found that a low proportion of hospitals carried out regular reviews of their chargemaster implementation. [ 15 ]
Add-on codes are additional work associated with a primary service or procedure. Add-on codes can and should only be billed when the provider has performed and billed the primary service. [3]
Overbilling can occur when larger institutions or governments create errors in their calculations of how much various individuals may owe. [4] Banks and credit card providers can also overbill clients, or indirectly facilitate overbilling through the method by which they allow vendors to charge a client after the client has accented to having their card billed. [5]
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The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.