Medical Billing Services

For several decades medical billing was happening on paper. However with the advent of computers it has become possible to efficiently manage large and huge amounts of claims. Many software and IT companies have arisen to provide medical billing software to this particularly lucrative segment of the market.

The billing process is an interaction between a healthcare provider and the insurance company. The interaction begins with the office visit a doctor or their staff will typically create or update the patient's medical record. This record contains a summary of treatment and demographic information related to the patient. Upon the first visit, the provider will usually give the patient one or more diagnoses in order to better coordinate and streamline his/her care. In the absence of a definitive diagnosis, the reason for the visit will be cited for the purpose of claims filing. The patient record contains highly personal information the nature of illness, examination details, medication lists, diagnoses, and suggested treatment.

Medical classification or medical coding is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers. The diagnoses and procedures are usually taken from a variety of sources within the medical record, such as the medical transcription of the doctor's notes, laboratory results, radiologic results, and other sources. Diagnosis codes are used to track diseases, whether they are everyday diseases such as diabetes mellitus and heart disease, to contagious diseases such as norovirus, the flu, and athlete's foot. These diagnosis and procedure codes are used by government health programs, private health insurance companies, workers' compensation carriers and others.

Medical transcription also known as MT is an allied health profession which deals in the process of transcription, or converting voice-recorded reports as dictated by physicians and/or other healthcare professionals into text format. Medical transcription encompasses the MT, performing document typing and formatting functions according to an established criteria or format, transcribing the spoken word of the patient's care information into a written, easily readable form. MT requires correct spelling of all terms and words, correcting medical terminology or dictation errors. MTs also edit the transcribed documents, print or return the completed documents in a timely fashion. All transcription reports must comply with medico-legal concerns, policies and procedures, and laws under patient confidentiality.

Avantiya Truworth Health Care Consultants is building the world’s most competitive Healthcare Revenue Cycle Management solutions and services firm to help its clients gain a distinct advantage over their competition by optimizing their Revenue Cycle. By combining our Business Transformation Capabilities with Global Team work, we are able to significantly reduce costs & increase net revenue realized by healthcare providers.