What is the Healthcare Reimbursement Process?

The Healthcare Reimbursement Process is the process in which a healthcare facility/provider gets paid for treating patients. Documentation is key in keeping an accurate and up-to-date medical record of a patient. Having errors could over or under charge an insurance company or government agency which will lead to an audit of the healthcare facility/provider.

The Healthcare Reimbursement Process is performed in the following way:

1. Documentation of medical record
2. Code assignment based on medical record
3. Preparing a claim to insurance and/or government agency
4. Sending the claim
5. Review the claim
6. Resolve/Payment claim

All healthcare facility/providers use this process in the Healthcare Reimbursement Process.