Billing Summary -A Secret Tool To Manage Medico-Legal Claims

Hospitals are generating a lot of documents. It starts with medical records, administrative documents like DNRs, consents, or informative documents, but along with this, there is a whole bunch of medical billing records getting generated with every step in the patient’s treatment.

Can these documents be of any use apart from their vital use in claim amount generation? Yes, these medical billings are helping us to correlate the medical treatment course. If any treatment records are missing it is easy to understand by looking at the medical billing records and matching them to original documents. And the missing records can be retrieved.

Billing records also provide us more details about the treatment including the ICD and CPT codes which direct us to exact diagnosis and treatment. Dates in the billing help navigate through the course of treatment and help understand “missed treatment” dates, total dates required for completion of the treatment.

If these data to be used further for treatment efficacy analytics or analysis of the worsening diagnosis by tracking the records. The dates, the data against dates, billing codes and the charges really provide a good ground to come up with analytical outcomes.

So, when we know these medical billing records are of great value for claim purpose, investigative data purpose and in the analytics as well, why not make sure that these documents are managed very carefully. How about having a billing summary?

Billing Summary:

However, seems a very new concept, but it is the very best and handy tool helping litigation services, insurance companies, and also medical analytics. The billing summary includes the date wise gathering of all the charges generated during treatment. It also has ICD and CPD codes to give more precision to the details against charges. It also provides a brief analytical presentation of the medical bill amounts per year. The dates are arranged in a chronological way based on requirements.

Advantages of Billing Summary:

1. Saves Time: It gives aggregated medical bills arranged chronologically. Insurance providers or legislative experts do not have to waste time collecting all bills and putting them in order to reach a claimed figure.
2. Easy Reviewing: Helps to review all the charges and the billed items and find out missing details of the claim also able to easy to locate treatments, which are not covered under, claim.
3. Easy navigating using the links provided for original bills and the billing summary and bookmarks
4. CPT and ICD codes also help to find details of the treatment.