Medical Billing
Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by healthcare providers. It involves translating healthcare services into billing codes, preparing claims, and managing reimbursement from insurers or patients. This administrative function is critical for the financial health of medical practices, hospitals, and other healthcare facilities.
Developers should learn about medical billing when building or maintaining healthcare software systems, such as electronic health records (EHR), practice management software, or insurance claim processing platforms. Understanding medical billing ensures accurate data handling, compliance with regulations like HIPAA, and integration with billing workflows, which is essential for applications in the healthcare industry to facilitate efficient revenue cycle management.