Medical Billing System

Posted by steelersmb
September 14, 2011

The medical billing is the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. Being a comprehensive system, the medical billing system includes all the particulars required for efficient insurance claims. For several decades, medical billing was done almost entirely on paper. Nowadays, with the advanced technology provided by computers, it is possible to efficiently manage large amounts of claims. Actually, there are several companies that provide with full portal solutions through their own web-interfaces, which negate the cost of individually licensed software packages.

The medical billing system demands a lot of attention and concentration, for any error occurred while introducing the information, may lead to the rejection of the insurance application. medical billing systems help you to avoid these unpleasant situations, helping you to design an efficient claim application without any loop holes. Simplifying the claimants’ filing process, medical billing systems ensure the accuracy of medical claims and patient billing.

Following a systematic pattern, based on the billing information received through fax or courier, to process the insurance claims of the patient, medical billing systems process the insurance claims of the patient. The calculation of the claim amounts is made on paper, in manual systems. A former manual billing record was in the HCFA standardized form.

In electronic systems, a billing software system processes the claims and after being checked and rechecked, they are sent to insurance carriers for processing and payment. These advanced medical billing systems use remote data exchanges between medical billing software and the computer of the medical provider, in order to automatically fill the processed claim. These systems provide with pre- installed insurance codes, such as ICD-9, HCPCS, CPT, and anesthesia codes, and are working with the health insurance portability and accountability act, known under the name of HIPAA. HIPAA is a set of rules and regulation which hospitals, doctors, healthcare providers and health plans must follow in order to provide their services aptly and that there is no breach of confidence while maintaining patient records. medical billing service providers and insurance companies were not the only ones affected by HIPAA regulations, for many patients found that their insurance companies and health care providers required additional waivers and paperwork related to HIPAA. As a result of these changes, software companies and medical offices spent thousands of dollars on new technology and were forced to redesign business processes and software in order to become compliant with this new act.

The modern medical billing systems provide with analysis reports on procedures performed, payments received, and accounts adjusted for any period, being at the same time user friendly with many customizable tools. They also may include additional medical functionalities in bills such as trip reporting for ambulance companies and transaction details for anesthesia billing. The electronic claim submission aids automated cash flow, these systems being able to streamline the activities from any Internet source. Popular billing systems are represented by Clinic medical billing System, Soft Aid, Med soft, Med Office, and Med billing, and come in help for healthcare managers, providing them with a tool that encompasses all the financial, clinical, and operations elements of successfully running a practice.

The medical billing systems will help you spare you time, allowing you to focus on your patients, providing them with the needed treatments.

Subscribe to the MediPro Blog!

Stay up to speed on the latest healthcare industry articles & information delivered straight to your inbox.