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Medical Billing Services Go Digital

As electronic health records (EHR) become the industry standard, medical billing is going digital too. According to the American Medical Billing Association, more than 75 percent of claims are submitted electronically. Medical billing software is the key to efficient claims collection--and a critical component of outsourced billing services.

Medical professionals can ensure their billing service is getting the job done right by vetting not only the providers staff but also the medical billing software. To determine whether the service partners technology meets industry standards, its important to develop a basic understanding of todays medical billing software.

Billing Service Software 101

Medical billing services rely on software solutions to submit and follow up on claims to insurance companies and patients. Todays medical billing software includes a comprehensive set of tools for managing a practices revenue. The fundamental features include:

  • Electronic claims processing
  • Payment and adjustments
  • Patient statements
  • Financial reporting

At minimum, a billing service should have the technological resources in place to perform these basic functions electronically.

A Closer Look at Billing Software Features

A third-party billing service can only be as effective as the technology it uses. Look for the following features in a competitive medical billing system:

  • Customizable ledger screens
  • A user-friendly platform accessible to both in-house and billing service staff
  • A single platform for adjustments, charges, and payments
  • Wireless and/or web-based access to the system
  • Data security features
  • Full transaction control and visibility of charge balance and transaction posting

These state-of-the-art features empower billing services to provide accurate, efficient service and transparency to the client. In addition, the third-party provider takes responsibility for training its staff and maintaining the system. An effective billing partner will offer comprehensive training for medical billers new to the system, update the software regularly, and perform frequent system backups to ensure data security.

The Benefits of an Electronic Billing Service

Digital billing has become the industry standard, as third-party service providers (and their clients) reap the benefits of automated claims submission and data management. Billing software enables services to bring costs down, boost collection rates, and provide accountability. Specifically, medical billing software offers the following benefits:

  • Increased accuracy due to standardized electronic forms and codes
  • Automatic HIPAA compliance
  • Reduced time to payment
  • Easy and effective follow-up due to tracking and reporting features
  • Greater data transparency and security

Electronic claims submission enables medical businesses to oversee the outsourced revenue collection process. Detailed reporting features offer a real-time glimpse into the financials, allowing clients to take an active role in this critical business process. As a data-sharing resource, medical billing software enables third-party billing services and their clients to work together to boost revenue collection rates.

Medical billing services rely on electronic billing software to boost returns and collection rates for their clients. Evaluating this key resource will give medical practitioners crucial insight into a billing services effectiveness before entering into a service partnership.



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