![]() In addition to gathering data and submitting the insurance claim form to payors, it is the responsibility of the Medical Biller to ensure that the data is accurate and that the claim is adjudicated properly. The services rendered are reported using codes from the CPT (Current Procedural Terminology) Coding Book. The lower section of the CMS 1500 Form reflects the services rendered by the physician as well as the monetary charge associated with each service provided. ![]() ![]() The patient’s diagnosis is reported using a code from the ICD (International Classification of Disease) Coding Book. The middle section of the CMS 1500 Form reflects the patient’s medical data, such as date of injury or illness and the diagnosis of the patient as reported by the physician. The top of the CMS 1500 Form reflects the Patient Demographic Information, such as the patient’s name, address, date of birth, sex and insurance information. Medical Billing is the process of submitting health insurance claims on behalf of the patient to various health insurance payors for the purpose of acquiring payment for services rendered in a medical facility.Ī Medical Biller gathers several types of data to be placed on the CMS 1500 Form (physician billing) or the UB-04 Form (hospital billing). ![]() Download our CMBP Medical Billing Certification Course Information Packet
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