Understanding the Medical Billing Process: Step-by-Step

Claims that are denied or underpaid require follow-up. Denial management involves:

• Identifying the denial reason

• Correcting issues (e.g., wrong codes, missing info)

• Resubmitting the claim or initiating an appeal

Experts at DocVaz.com and UMBSBillingServices.com provide comprehensive denial management services, significantly improving reimbursement rates for healthcare providers.

Step 11: Reporting and Analytics

The final step involves analyzing billing data to uncover trends, monitor performance, and identify bottlenecks.

Common Reports Include:

• Days in accounts receivable (AR)

• Denial rates

• Collection rates

• Payer performance