The Usability of Electronic Medical Claims Software

Posted by steelersmb
October 25, 2010

Electronic billing is very helpful to the medical industry, allowing for a more efficient system to care for patients. The bill-paying system is a necessary evil of healthcare, but the latest electronic medical billing software makes the process as streamlined as possible. Anyone who uses medical claims software to send bills electronically may know the convenience of this software compared to older systems. It is a great advancement in the world of medical records, as long as it is used properly. When people use medical claims software to send records electronically, they must be sent in a specific sequential system with all the required fields completed. This is where the possibility for human error comes in. Each individual record must be transmitted separately, but compared to the paper system, electronic billing is a lifesaver. Some medical records are only sent using the medical claims software in certain cases, though, but as long as the main records are submitted the claim should go through.

Using electronic medical billing software does require additional training, because it is a vastly different system from the paper medical records format. The untrained eye does not read the electronic billing format as easily, because the only data being transmitted is the field data itself. When healthcare employees are doing electronic medical billing the only thing that gets transmitted is the actual patient name, with no header. When using medical billing software, the user knows the name is the patient’s without a header because each piece of data is transmitted in a certain position in that particular record. The possibility for human error with medical claims software is placing the date in the wrong fields. The patient’s name may need to appear in the first electronic billing record in positions 30 through 60, for example, and it may be transmitted in positions 61 though 90 instead. In this case the electronic billing claim will be denied because the name was not transmitted in the right positions. It is important to be careful when using medical claims software, because there is a ton of medical information that is transmitted in each claim. If the information is not sent correctly or in the expected positions, then the insurance carrier won’t know what to do with the claim. This is because there are no human eyes in the electronic billing software to see that the name was meant to be placed in the box or area to the left of where it was. The medical claims software will probably still reject the claim, but human eyes will eventually go back and look to see what mistake was made. As long as people are careful about their data entry, electronic billing saves a whole lot of time, not to mention paper. Electronic billing software saves trees, saves space in medical records buildings, and saves time.

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