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Medical Billing - How Does Software Aid Electronic Filing Of Claims And Improve Collections?

Medical billing software solutions are being adopted by an increasing number of medical

practitioners every year as it makes the billing process easy, fast and accurate. Advanced technology and the internet have brought Medical coding and billing software within easy reach of both small and big healthcare providers. An estimated 75% of claims are being submitted electronically today.

Medical billing providers are using industry standard software that offers clients the advantages of cost, customization, efficiency, accountability and financial reporting. Healthcare providers should examine not only the services of the Medical coding and billing provider but also the quality and features of the medical billing software they use to ensure it is suitable for their practice. Here are a few guidelines on what to look for in the billing software solution.

Features of a Medical coding and billing software

All billing software must have the basic features to submit claims and manage billing electronically. However, this is just the tip of the iceberg. Efficient software provides flexibility, speed, transparency of data, security, point-of-sale bill tracking, extensive reporting, scheduling of patient visits, scanning, printing, credit card processing, email capabilities, and much more.


Standard features of medical billing software include:

* electronic filing of claims

* editing of previous claims and resubmission

* one platform for charges, adjustments and payments

* sending patient statements

* reporting financial statistics for decision making

* customizable screens for accounting

* user friendly interface

* web-based or wireless access to the system

* data security

* one platform for in-house staff and billing service personnel

* transparent transaction processing

* visible charge balance

* full transaction control

* HIPAA compliance

These features ensure medical providers have access to complete information, the billing service is well organized and accurate, and the entire medical practice works more efficiently.

Medical coding and billing service providers ensure their client's staff is trained in the software and also take care of maintaining it. They are also responsible for upgrading it when required, and regularly backing up data for data security.

Advantages of using Medical coding and billing software

It makes the medical coding and billing process a lot easier and accurate. The manual process of filing claims is fraught with inaccuracies that cause insurance carriers to reject claims.

Some of the major advantages of medical billing software are:

* Standard electronic forms and codes ensure accuracy of forms, which reduces the chances of the claim being rejected.

* Cash flow increases as the time to payment reduces.

* The software is built on industry standards and ensures HIPAA compliance.

* Time and effort is saved because of easy follow-up of claims through reports and tracking features.

* Better decision making due to extensive reporting of financial statistics.


* Data transparency allows medical providers to oversee the electronic submission of claims.

* Billing providers and medical providers can access the same data and work together to improve collection rates.

A billing provider must use a good quality software solution to give the maximum benefit to its clients. The electronic process of filing claims and managing data through software improves the efficiency and revenue of medical providers.

by:Daljeet Sidhu
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