How Does Medical Billing Software Help Ease The Process Of Insurance Claims?

In this day and age where everything is turning digital including books

, magazines and utility billing statements, it is not so much a surprise that insurance companies prefer if they receive your claims with a digital copy of the billing from their partner hospitals. How does one do this, you ask? Through the Medical Billing Software, insurance companies can be able to receive the exact details and information on the particular procedures and medicines that a patient/insurance subscriber needs.

Medical billing software and the Health Insurance Portability and Accountability Act (HIPAA)

The HIPAAs introduction pushed insurance companies to look for a particular software or system that can answer to the laws requirements. Under the HIPAA, which health workers must make use of to provide quality care without releasing confidential medical records, urges that medical providers must make their claims to health insurance companies by sending electronic records of their patients billing history. This will prevent duplication of claims, authentication of said claims and on-time payment.

Under the HIPAA, transmission of bills, financial and administrative dealings and reimbursements must all be done electronically through the Medical Billing Software. However, most insurance companies would still require for additional waivers and paper works from their clients and subscribers to ensure that no bogus electronic documentations are being received. This caused trouble for many hospital patients, especially those who do not have the time to send or personally present billing documents to their insurance agents. This is especially troublesome for hospitals and insurance companies that do not have the latest billing software yet that is programmed with the provisions of the HIPAA.

Because of such a predicament, software companies scrambled to come up with a new technology that will be compliant with the act. The use of Medical Billing Software will significantly decrease the paper works normally associated with health insurance claims. There is also less need to pursue and follow up payment between the two sides because all transactions are recorded electronically.

Easy insurance claiming through a billing software

The problem with a lot of hospitals is that insurance companies pay their bills late, which is why some are wary to receive patients holding certain insurance policies. But because most medical billing softwares are Internet-based, this makes it easier for hospitals to check the insurance policies of their possible patients shortly after they are admitted in the hospital.

By checking the insurance policy of a certain provider, any hospital would get to know the exact primary and secondary services that they can provide to a particular patient. Of course, a billing software will provide an easier way for claims and reimbursements to be processed. This equals to a fluid transaction between the insurance company and the hospital, which can then mean better customer service

by: Joe Bass

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