Medical Billing Outsourcing: How it Works

As more and more doctors are choosing to switch to medical billing outsourcing to handle patient billing and insurance matters in the office, medical professionals are taking more interest in the process.

While the idea of outsourced medical billing may seem unsettling to doctors who do not wish to lose control of their office functions or doctors who are uneasy about changing an old system, understanding how the process of medical billing outsourcing works makes the change easier. Medical billing service PhyLogic provides an inside look at the process.

The process begins with patient appointment-scheduling software for practice staff to ease paper filing and workload. Using the prescheduled and data-entered appointment, practice staff can simple, on the day of the visit, check off what procedures the patient had and the data is transferred electronically to PhyLogic.

Reimbursement specialists then generate a claim based on the information entered and check for errors. After submitting claims electronically to various payers for reimbursement, payers can send payments either to PhyLogic directly or to the doctor’s office where they are then forwarded to PhyLogic. As many patients often have multiple insurance policies or may have to help cover the payment, multiple claims are often necessary to ensure correct reimbursement. The process may be repeated and PhyLogic will also collect from patients in a non-threatening and constructive way to resolve a claim.

Underlying the process are a series of checks on claims and the process of finding unpaid claims that a practice office might have missed. PhyLogic also provides its clients with regular data and billing reports. Having an idea of how medical billing works and what it can do for a physician office makes it even more sensible.