MEDICAL BILLING/INSURANCE

Data flow Diagram on Medical Billing/Insurance

Data flow Diagram on Medical Billing/Insurance

Introduction

The study is related to the flow of data or information which particularly focuses on the medical billing or insurance that are important to study; the reason of such statement is that, medical billing or insurance comprises of steps that are vital in the completion of the medical billing or insurance process. These processes should be done in an effective and efficient manner so that the patients get facilitated through the medical billing or insurance and for this, the flow of data or information is considered as the imperative factor.

Thesis Statement

“Medical billing or insurance are based on the various steps that play essential part in the flow of information.”

Discussion

The process of medical insurance or the medical billing data flow diagram follows a sequence of clearly mentioned steps with the absolute emphasis on the quality, process and accuracy of the audits. The given mentioned steps are involved in the process of medical insurance or the medical billing:

Claims Transmission

The hospitals carry forward the medical claim to the concerned department's medical insurance or the medical billing team through scanned documents or as courier. The medical claims are supported by the details of the patients that include the charge sheets, demographics, verification data of insurance, super bills, a carbon copy of the card of insurance and also any necessary or relevant information regarding the patients (Burgos, Johnson & Keogh, 2007). In addition to this, all of these documentations are uploaded and scanned onto the protected FTP server for access by the concerned department's expert medical insurance or the medical billing staff.

Checking and Retrieval of the Medical Claims by Teams

The concerned department's medical insurance or the medical billing staff accesses the supporting document and medical claims through the protected FTP servers. Moreover, all of these ...