• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Working Mom Blog | Outside the Box Mom

making life easier for working moms

  • Home
  • Home Life
    • Cleaning
    • Decor
    • Home Improvement
    • Laundry
    • Organizing
    • Save Money at Home
  • Meals
    • Cooking Shortcuts
    • Grocery Shopping
    • Health
    • Meal Planning
    • Recipes
    • Save Money on Meals
  • Work
    • Blogging
    • Entrepreneur Mom
    • New Working Mom
    • Unemployment
    • Work at Home
    • Work / Life Balance
  • Mom
    • Beauty, Style, and Fashion
    • Faith
    • Health
    • Me Time
    • Productivity
  • Family
    • Childcare
    • Digital Life
    • Education
    • Family Time
    • Hobbies
    • Holidays
    • Marriage
      • Marriage Advice
    • Parenting
    • Travel
  • Finances
  • About
    • About Raki Wright
    • Disclosure Policy
    • My Communities:
    • Outside The Box Mom Resources
    • Parties I Link To
    • Privacy Policy | Privacy Notice
  • Contact
  • Shop

Recent Trip to the Hospital Hurting Your Wallet? Everything You Need To Know About Medical Billing

This post may contain affiliate links. Read full disclosure.

by RAKI WRIGHT

If you or a loved one has recently been in the hospital, you may find yourself drowning in sky-high bills and struggling to wrap your head around confusing codes and pricing practices. Hospital billing can be confusing and overwhelming, but you don’t have to panic if you’ve received a medical bill you don’t understand. Below, you’ll learn about medical billing and how it works.

What is medical billing?

Medical billing is submitting and following up on claims with insurance companies to receive payment for services rendered by a healthcare provider. To bill insurance companies, healthcare providers must use a particular coding system called ICD.

ICD codes are used to describe diagnoses, procedures, and medications so that both medical professionals and insurance companies can understand. These codes are constantly updated, making billing insurance companies a challenge.

The medical billing industry

The medical billing industry consists of the patient, health provider, and insurance. The patient pays a premium to the insurance. The insurance then pays the health care provider whenever the patient is treated. The health provider can send the bill to the insurance or use a third-party billing service.

Some healthcare providers use third-party billing services

Medical billing is usually handled in-house, but the hospital can also use a third party medical billing service. These services can help providers get paid faster by submitting claims electronically and following up with insurance companies on behalf of the provider. 

For example, Remedy Billing is one of the third-party billing services healthcare facilities use. If you’re curious about how this type of billing works, you can learn more at Remedy Billing’s new site.

The medical billing process

The medical billing process begins when the patient receives services from a healthcare provider. The provider will then generate a bill, which will be submitted to the patient’s insurance company. 

The insurance company will review the bill and determine how much they are willing to pay. If there are any discrepancies, the insurance company may deny the claim or ask for more information. The provider will then follow up with the insurance company to ensure that the claim is processed correctly. 

Once the insurance company has paid the claim, the provider will send a bill to the patient for any remaining balance. The billing can either be front-end, meaning the payment occurs before the service, or back-end, meaning payment happens after the service completes. 

What do medical bills cover?

So you’ve visited different medical facilities, and you’ve noticed that the billing is different for the same services. How is this so? How do providers determine the bill? These are some of the things they consider when billing.

  • The facility’s capacity–the number of beds a facility has will influence what they charge you
  • The hospital’s reputation
  • The supply and demand–how readily available are the services you need?
  • The charge description master list (CDM)–the CDM is a list of standard prices for billable prices and thus could determine how large of a bill you receive.

Take away

The billing process can be overwhelming, but it is essential to understand the basics to get the most out of your medical care. By knowing what to expect and being proactive about billing, you can avoid any surprises. 

Related Posts:

  • Useful Legal Tips for Moms for Properly Dealing With Injuries
  • 4 Cashflow Pathways All Moms Should Know About When They Need Emergency Cash
  • Steps To Take To Recover Financially From A Major Injury
  • Author
  • Recent Posts
RAKI WRIGHT
RAKI WRIGHT
Raki's Google Profile
RAKI WRIGHT
Latest posts by RAKI WRIGHT (see all)
  • Making Sure Your Family Stays Protected When Life Takes a Turn -
  • Women Are Quietly Battling Addiction—Here’s the Hopeful Way They’re Winning -
  • 6 Reasons Why Comfort Matters in Temporary Workspaces -

Sharing is caring!

3 shares
  • Share
  • Tweet

Filed Under: Finances

Previous Post: « Top Pets That Will Help Boost Your Mood And Mental Health
Next Post: How to Make the Switch to Natural Diapers »

Primary Sidebar

Welcome! I'm Raki. I am a working mom of 2 (22-year old son and 15-year old daughter). I share tips to balance work, family, and make time for you. More...

  • Facebook
  • Instagram
  • Pinterest
  • RSS
  • Twitter

Footer

What are you looking for?

ENTER YOUR EMAIL ADDRESS TO GET THE BEST TIME-SAVING TIPS AND SOLUTIONS FOR BUSY, WORKING MOMS IN YOUR INBOX.

    Copyright © 2025 · Foodie Pro Theme by Shay Bocks · Built on the Genesis Framework · Powered by WordPress

    3 shares
    We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.Ok