Medical Billing Software Takes Health Care Systems Into The Computer Age

Over the years, health care providers and insurance companies have had to deal with

mountains of paperwork to decide on one patient's treatment and consequent billing. And though it is still a process that might take days, weeks or even months, medical billing software has emerged to take the billing cycle into the computer age.

The process starts with creating or updating a medical record of a patient that required health care. Doctors or health care providers' staff will enter information into the patient's file that will be sent to insurance companies in order to determine what and how much will be paid for. With a Medical Billing Software, this can be done instantly and the medical biller will submit the claim electronically.

Insurance companies access the information sent via the medical billing software and analyze the claim. They will then approve or reject the claim and send the new information back to the health care provider. This process is adequately called a cycle because it can go on for an extended period of time, as claims are re-submitted and re-analyzed until both parts agree on the billing terms.

The use of a medical billing software does speed up the process, as it bypasses all the filling in by hand of forms, archiving files and transporting those files from one end to the other. This allows both parts to efficiently manage the insanely large amount of claims that are submitted every day.

Health care providers and insurance companies can, therefore, install a medical billing software for these administrative purposes. They can either choose a licensed software package of medical billing software or prefer to work with web interfaces, both of which require specialized training for employees.

Many patients have been faced with difficult financial contexts after being treated for a health condition and finding out later that the insurance company won't be paying for the treatment. Medical Billing Software has also allowed for changing this situation, as it allows for the health care provider to assess the patient's eligibility for treatment beforehand. The patient can be informed of the approval or rejection of the process and manage his or her decisions from that point on.

Of course, the introduction of personal information into medical billing softwares is a privacy issue that has been dealt with by most countries. There are laws that health care providers and insurance companies must follow to guarantee that no breaches of confidence will occur.

In the United States, for example, the Health Insurance Portability and Accountability Act (HIPAA) has been in place since 2005, requiring all parts involved in the billing cycle to manage, send and receive claims according to the legal specifications. Any leak of information will be subject to litigation.

In conclusion, there is the disadvantage of privacy matters, but medical billing software has come to stay, as the efficiency provided for the billing cycle is invaluable. Health care providers and insurance companies speed up the process in a cost-effective manner and, most importantly, the patient's treatment and billing is significantly bettered.

More information on Medical Billing Software can be found at http://www.healthtec-software.com/Medical-Billing-Software.htm

by: healthcare

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