Saturday, December 09, 2006

Medical Billing - Hidden Costs

It isn't easy to get into the field of medical billing and not get hammered by all the costs. It's bad enough having to deal with the costs that you are told about up front, but when you get hit with costs that nobody told you about, that's when things can get very frustrating. The purpose of this article is to prepare you for what you're in for should you decide that you want to get into the medical billing profession.

The first thing you're going to need is software to do your billing with. This isn't a hidden cost as the company will tell you right up front what the software is going to cost you in order to do your basic billing. That is the key word here, basic. See, the stock medical billing packages don't really come with a lot of extras. As a matter of fact, many things that you would think would be standard turn out to cost extra.

For example. In most packages, if you want inventory control features, that's extra. If you want the ability to post payments from Medicare automatically from a downloaded Medicare batch file, that's extra. If you want to be able to send your claims electronically or any other carrier, that's extra. If you want to be able to print purchase orders or sell over the counter items or do barcodes, that's extra.

And then there are the services. When it comes to medical billing, there are quite a number of services. For example. When you send out a bill, part of that bill included the procedure code for the item being billed. Well, these procedure codes are updated regularly. In order to get the updates, you have to subscribe to a service. Guess what? You got it, extra. Another part of medical billing is that whenever you send a bill, you have to also include the diagnosis code for the procedure. Because there are new illnesses all the time, these codes are also constantly updated. In order to get these updates, again, you have to subscribe to a service. This is also extra.

And then there are forms. Forms are big business all by themselves and nobody is going to give you these forms for nothing. So while your software may come with the capability to print the data to these forms, the forms themselves have to be purchased from a forms manufacturer. Sometimes, the software manufacturer will be able to provide you with these forms, but it is probably better to go straight to the manufacturer as the software company will have to charge you a premium for these forms since they had to get them from the manufacturer themselves. These forms include HCFA 1500 forms, CMNs and a few odds and ends. They all add up, especially if you do a lot of billing.


Medical Billing - Patient Complaints

When you're dealing with the public, you're going to have problems in the form of complaints. It's a fact of life that everybody needs to deal with, not only in the medical billing field but everywhere. But medical billing has its own little quirks that are unlike any other business in the world. We're going to cover some of these quirks in this article. Hopefully, if you are a medical billing representative, you will be prepared to handle some of these unique situations.

One of the most common customer complaints that patients will have is when they expect to have a bill that they were given for a medical service paid and it's not paid. Worse than that, they're not even told that the bill wasn't paid and they end up getting a nasty letter in the mail demanding payment. The patient is now sitting at home scratching his or her head, wondering what the heck happened. So the first person they call up is the medical biller. They want to know why this bill wasn't paid.

This is where the answer gets a little complicated. See, medical billing is not the fastest service in the world. For example. You can, as a medical biller, submit a bill for patient John Doe to Medicare on January 1, 2007 and Medicare may not get around to even consider paying it until 30 days later. In the meantime, however, the bill is expected to be paid by the patient within that 30 day period. So this is what happens. Medicare finally checks the bill on February 1, 2007. In the meantime, the 30 days have passed and so a letter goes out to that patient on that same day. In the meantime, Medicare is probably going to pay that bill within the next 7 days. So the patient calls up and complains, the biller says he or she will look into it and by the time anything is even done, the check arrives in the mail between the 10th and the 15th of the month. All of that for nothing.

As a medical biller, it is your duty to make the patient aware of the lag time in billing and assure the patient that the check will probably be coming from the insurance carrier in a week or so. In the meantime, however, you should call up the carrier and make sure that the bill was received and that they are in the process of making payment.

Another complaint, though not as common, is that the patient calls up complaining that they are being billed for services not performed. In this case what you, as the biller, need to do is check the records as supplied by the doctor and follow up to make sure that you received the right information. If not, you'll need to make changes in the system and rebill the patient for the right services.


How To Succeed As A Medical Transcriptionist

Presently, there is a substantial need for good transcriptionists who are knowledgeable, accurate, hardworking, smart, dedicated and dependable, and this need exists daily. A professional MT, even one just beginning, is expected to have a certain level of required medical, language, and technical knowledge and skills along with the necessary typing acuity to perform the job. The bottom line is that knowledge and skills are constants. Will there come a time when hands-on medical transcriptionists will not be needed, that the MT will be completely replaced by computers and voice recognition systems? While that possibility exists, it is not seen in the immediate future.

Facts: Medical transcription has evolved into a highly skilled subspecialty of medicine requiring proficiency in the knowledge of medical language and technical skills, and today’s marketplace commands the successful MT to possess a variety of skills, which includes use of the Internet. The difference between a transcriptionist and a good transcriptionist is the extra mile taken to ensure the accuracy of document information and presentation. Job proficiency is the name of the yardstick and you will be measured by it.

Hiring facilities view MT candidates as having a variety of talents, assets and characteristics. Your proficiency in the real world is measured by your proficiency to get the job done accurately and in a timely manner. Your work will be monitored and you will have regular performance reviews wherever you work, so performing your best is always a top priority. It pays to persevere, and learning what you don’t know will only help you in the long run.

Secrets: Repetition is a key factor in mastering listening skills. As much as possible, listen repeatedly whenever encountering an unfamiliar word or phrase. Transcription speed is built on abbreviated keystrokes, which save time and enhance your ability to make more money. Always find ways to improve your knowledge and technical skills, because learning occurs daily. As technology advances, you will be expected to know how to use and integrate these changes into a facility’s system.

Expand your knowledge. Get to know other transcriptionists and network often, if not daily. Reach outside your comfort zone. Choose an area of particular interest and become an “expert” in that area. While the road may be tedious in the beginning, ultimately rewards do come. If you promise 24-hour turnaround, deliver it. Honor and meet whatever commitments you agree to with your client. As you continue in your career, the likelihood of greater demands and expectations made upon you increases, so practice often and keep your knowledge current.

Conclusion: Commitment and determination lead to a successful career. Be willing to take the steps necessary to complete the required learning, to compete in a market that strives for excellence and rewards it, and to invest time, energy and sincere efforts toward excellence.

Friday, December 08, 2006

So What Is The True Salary For Medical Transcriptionist?

So how much can you expect to earn as a medical transcriptionist?

I know you’re going to hate this answer, but…it depends. Medical transcription is listed as one of the fastest growing careers and will be for the next several years. That’s good news!

Listen to this, according to the U.S. Dept. of Labor‘s May, 2005 statistics regarding medical transcription, the hourly mean wage was $14.36 and the annual mean wage was $29,880. This is up from the previous year, which is good considering some job wages are going down.

The five top paying states in order were Alaska, California, New Jersey, Massachusetts, and Nevada. Now, if you don’t live in one of the top five states, don’t worry!

I live in Georgia and make a lot more than the “average” the DOL has listed and there’s a good chance you will too! The pay starting out at your first job (which may be in a doctor’s office, hospital, or online service) usually is pretty modest.

The good side of that is that many times you get benefits such as paid leave and insurance. If it’s the top salary you are going for, just be patient. Self-employed MTs can earn significantly more than MT employees.

Of course, they have to take out taxes and get their own insurance either privately or through their spouse’s company but the rewards are many!

Most MTs are paid by the line, for example if you earn $0.10 per line and you type 1000 lines, you earn $100.

You can either then let the word processing program (Word or Word Perfect) tell you how many lines there are or, in some older programs, you may need to get the word count, then divide by 11 to get the line count. Most line counts are made by dividing the number of words by 11 since a line has an average of 11 words in it). The going rate is anywhere from as low as $0.05 per line (for beginners) to $0.14 per line and even more. In my area the average is $0.08 to $0.12 per line.

Try not to take a job where you are paid by the hour.

You will make less money and you will be tempted to hurry and may make careless errors, thereby not delivering good quality.

Also, ONE WORD OF WARNING!!!!! OK, two words, Be Patient!

When you first start out, you will feel like you are making $2.00 per hour once you add your lines and multiply by your rate, then divide by how much time you spent typing.

I remember sitting at the computer one night in tears because I had just worked for 4 HOURS transcribing one tape and had earned a whopping $4.50 per hour! I thought, “I can’t do this! It’s not worth it!” It was sooooo frustrating!

But do you know what was causing me to be so “slow”? It wasn’t my typing speed (which by the way you can go to www.careerstep.com, click the top link for “free typing test” and it will time you for one minute and give you feedback regarding your accuracy and score)… it was having to stop and look up words every 30 seconds.

The faster you learn the medical terms, the faster you will do your work and the more you will get paid. At first it is hard because you aren’t sure what the doctor is saying and if it’s really unclear, you have to try looking up a word you can’t even begin to spell.

Some Tips In Promoting Your Medical Transcription Business

If you just started a work at home business as a medical transcriptionist and are thinking of advertising your services, there are various means of sending the word out.

The first is one of the most effective way of promotion, sending out Promotion Letters. Advertisers do this by sending out a promotion letter describing the services being offered to any reachable medical offices within an area. To be very effective, follow up your advertising by telephone after a few days of sending it out.

Another favorite advertising gimmick which is proven to work is giving away Freebies or any kind of Giveaway. Freebies are not necessarily small items like pen and such. You may also giveway a service for free, perhaps a sample transcription job or a discount for the initial transcripts would also work fine.

Distributing flyers is another well known technique of reaching more customers. Distributing flyers to hospital, doctor's office or clinics is a cost effective way of advertising.

In addition to flyers, your business card is another tool, in fact the most utilized tool by any business person. As long as you follow the proper business card promotion etiquette, instant connection with a prospect can be achieved. When you needed to share your business card to a prospect, always ask for your prospects business card in return. And please, don't just stick inside the other persons card in your wallet. Be sure to glance and read the card for a few seconds to show your interest.

A newer version which is gaining some popularity are magnetic signs. This is a rehashed version of the famous bumper sticker which is up to now is one of the favorites of advertisers. You can place a bumper sticker or magnetic signage to your vehicle and instantly turn your car into a traveling salesman. Add your website and other contact details prominently on those ads to obtain maximum exposure.

All time giveaway favorites such as pens, coffee mugs, T-shirts and other cheap priced items with your business name and contact details printed on them is another effective marketing technique. This things work very well in medical transcription field.

Supporting a local charity to gain exposure is a feel good way of advertising your medical transcription business. Choose a charity that is related to medical awareness such as cancer, diabetes or heart and stroke charitable institutions. Raising funds for charities not only help your advertising objectives, you will also feel good knowing that you are able to extend help to someone in need.

Ask for referrals from your present customers, don't be shy about it. If your customers liked your service, they will gladly oblige to tell their other collegues about you. Leave a few business cards with them, and ask in a pleasant way to pass out your business card to their contacts.

Network! Make genuine friends with other medical transcription business owners and network with them. Extend your help to them in anyway you can and you will be treated the same way.

Thursday, December 07, 2006

An Explanation of Medical Billing Software Prices

Medical billing software prices can vary widely depending on the size and scope of your practice and the software package you choose. Medical billing software is offered in many forms to the discerning customer. Innovations in the technology of medical billing software have created a new benchmark of digital accuracy. There are many packages offered, such as software with equipment lease, software lease via the Internet, or the software along with installation and training. When you are evaluating the needs of your practice, consider the factors that will affect the cost of your medical billing software such as the number of users, the number of patients, amount of use, and amount of data storage.

Many software packages will not fill all the diverse needs of your practice, so make sure you identify vendors who are familiar with health care management solutions and who will work with your practice to sustain your advantage in the business. When investigating prices for medical billing software it is a good idea to ask how and for what purpose the system was designed, and the cost for all the data to be secure, backed-up and protected on servers that are compliant with the HIPAA (Health Insurance Portability and Accountability Act of 1996). Also find out what the total price will be including ongoing costs, like upgrades, maintenance and training.

Other significant factors that will affect the price of medical billing software are the price of user licenses, and the costs involved with customization to fit your medical practice. Check to see if you can configure the software without assistance, and whether a first time user can quickly learn the program. If the answer is yes to these questions, you will save a bundle on training your staff. Selected vendors will allow you to create your own medical software quote by asking a series of questions that will identify your precise needs. Keep an eye out for companies who provide free updates to ensure continued HIPAA compliance.

There are medical billing software options out there that require a minimal provider investment, such as the web-based solution that allows the medical billing provider to manage and maintain all of your data and hardware within a totally secure remote environment. You could have all of the advantages of great medical billing software, including exclusive access to patient information, at sharply reduced costs. Some points of sale to look out for are: no hardware or software to buy, no need for installation, and no upgrade costs. Carefully evaluate the needs of your medical practice to see if this easy and popular option is right for your practice.

Finding a comprehensive selection of medical billing software prices can be a simple task if you are certain from the outset of your medical practice needs, and the size and flexibility of your budget. Medical billing software does not have to be costly to work efficiently. Once an expensive bundle of complicated interfaces filled with cumbersome textual fragments, today's electronic medical billing suites are reasonably priced, straightforward and intuitive.

How to Get Free Medical Billing Software

Free medical billing software providers are out there waiting to secure your business. Many software companies, if you qualify, will allow you to download their free demo software in hopes you will eventually add on more expensive options. Still other medical billing software providers will offer to mail out free demo CDs and training tapes. Another important feature that is often available at no cost to you is the care of all software upgrades, backups, data storage, and server maintenance eliminating expensive IT support and pricey upgrades.

One great additional benefit to obtaining free medical billing software is that many companies will help you to evaluate your needs in effort to ensure your future business. Investigating such possibilities is a worthy venture as there is so much competition and there are many new medical billing software services arising every day both locally, in the form of small start-up companies, and the on Internet.

Free services for medical billing abound. Since most companies who offer free medical billing software do not customize their complimentary products you may find that you have to piece together various services through the use of different companies and providers. Don’t be discouraged all you need to get there are a group of decent software packages that track claims management, patient billing, insurance, and scheduling.

And don’t forget to check and make certain that the software you choose is HIPAA ready and includes all finalized aspects of HIPAA to guarantee full compliance with HIPAA standards as they relate to the electronic storage and transfer of protected health information. Further consider carefully how the free medical billing software you acquire and/or assemble will eventually create a seamless workspace in which everything from electronic medical records to healthcare forms is integrated. Luckily you will probably be able to configure all the free medical billing software you get without assistance, quickly and easily so check it out, it might be a great solution for your medical practice.

Wednesday, December 06, 2006

How to Reduce Your Hospital Bills

As more people get high-deductible health insurance plans in conjunction with a health savings account, they are paying more attention to the fees they are being charged. Savvy consumers are discovering a wide range of prices among various providers, and many ways to reduce their hospital bills and avoid over-charges.

The medical industry, unlike virtually every other business, loves to keep their prices secret. They do this, very simply, so they can make more money. Only by shopping your medical care, demanding price transparency, negotiating for the best price, and carefully reviewing your bill can you be assured that you are getting a fair price, and not being ripped off.

A dramatic example is the price hospitals charge of open heart surgery. The Valley Hospital Medical Center in Las Vegas, Nevada charges $233,259 for open heart surgery involving a heart valve replacement. The Mayo Clinic, recognized as one of the top heart care centers in the world, charges $79,601 for the same procedure. As another example, The Miami Herald recently published an article about hospital pricing in Florida. A woman going to Palmetto General Hospital in Hialeah for physical therapy following a car accident had tried to find out what the treatment would cost her, but to little avail. After eleven sessions she started receiving the bills - $1,560 per visit. She was able to find the same service at Memorial Regional hospital in Hollywood, FL for only $50 per visit.

Hospital Overcharges

Anyone who has ever tried to decipher a hospital bill knows that they can be next to impossible to understand. This conveniently makes it easy for hospitals to hide improper charges by using mysterious medical technology and codes. Whether through deliberate overcharges or honest errors, experts estimate that hospitals overcharge patients by $10 billion a year, or an average of $1,300 per hospital stay.

Hospitals have been known to charge $129 for a "mucus recovery system" that was really a $2 box of tissues, $57.50 for a "free" teddy bear, and even $1,004 for a toothbrush. Most people never see an itemized statement, and so have no idea what they're being charged for.

Nora Johnson, a medical billing advocate, was quoted in a recent article saying that over 90% of the hospitals bills that she has audited have had gross overcharges.

Hospitals often go to extraordinary lengths to discourage you from delving too much into your bill. Nevertheless, there are some specific things you can do to make sure you're not getting taken for a ride.

- If possible, call the hospital's billing department ahead of time and ask them what you will be charged for a room and what that charge includes. If it doesn't include something you might need, such as tissues, bring your own.

Medical Assistant Careers on the Rise

Medical assistants are one of the high growth jobs in the healthcare industry. If you are thinking about embarking on a new career, you might want to consider being a medical assistant. The health care field is growing on a daily basis, mainly to due to advances in medicine. There is always a great need for medical assistants in hospitals, medical centers and clinics. The aging of America’s largest generation is also pushing the need for additional medical assistants over the next several years.

Medical Assistants are responsible for administrative and clinical tasks. These assistants are responsible for keeping health care offices running smoothly. The duties of medical assistants vary from office to office. Some of the administrative duties performed by medical assistants include answering phones and scheduling appointments, updating and filing patient medical records, filling out insurance forms, and billing. There are also clinical duties to be performed by medical assistants. These duties can vary according to differences in state law. Some of the tasks performed medical assistants include taking vital signs, preparing patients for examinations, or assisting doctors with examinations. Medical assistants also collect specimens, administer medication as authorized by a physician and telephone prescriptions to pharmacies. They are also responsible for taking blood, changing sutures and dressing, and keeping examination rooms clean and tidy.

Medical assistantscan move up in their careers by specializing in particular healthcare areas. There are also advancement opportunities by moving up to office manager. With additional certification and education, medical assistants can advance to other health care jobs such as nursing. Medical assistants with further formal training and current job experience are great candidates for career advancement. The U.S. Bureau of Labor Statistics projects that medical assisting will be one of the fastest growing jobs on average through 2014. This is due to the increasing use of medical assistants across the healthcare industry. The earnings of medical assistants vary, depending on their experience, skill level, and location. Median annual earnings of medical assistants were $24,610 in May 2004.

Now is the time to get in on the ground floor of this fast growing occupation. Healthcare employers prefer graduates of formal programs in medical assisting. Such programs are offered in vocational-technical high schools, postsecondary vocational schools, and community and junior colleges. Postsecondary programs usually last 1-year, resulting in a certificate or diploma, or 2 years, resulting in an associate degree.

Tuesday, December 05, 2006

The Long and Winding Road of Medical Billing

Medical billing is a multi-million dollar industry in America today. The exact process a bill goes through varies widely depending on various factors, such as the type of insurance a patient has and the type of service rendered by a provider.

The process begins after a patient has a doctor visit, which could include actual treatment for injuries or other medical conditions. Sometimes the visit may simply be a diagnosis of a condition leading to a prescription given by a doctor. After the visit has concluded, a doctor will give details of the visit to a medical specialist of some sort. This specialist will fill out a billing record with more technical information regarding the visit, such as codes representing different diagnoses. The billing record is then sent to the insurance company, or sometimes to an intermediate firm that will process the record beforehand. Either way, the billing record will get processed and analyzed to make a determination on which charges the insurance company pays for. The insurance coverage of a patient may not actually cover all the costs of the services the provider has included in a billing record.

Once the insurance company or some other intermediate organization has finished processing the claim, deciding which costs it will cover and which ones the patient has the responsibility to pay, an explanation of benefits (EOB) is returned to the original provider of the medical service. Once the provider gets the EOB, the information and coding will need to be deciphered. The insurance company might possibly have agreed to pay for all the charges the provider listed on the bill. If so, the insurance provider pays on behalf of the patient.

However, insurance companies rarely cover all the costs a medical provider has listed on the bill. Usually one or more of the charges will be determined by the insurance company to be the responsibility of the patient. If the insurance company rejects charges the medical provider has listed, the provider must make changes to the claim and resubmit it to the insurance company. Once resubmitted the insurance company will look at it again to see if the information is accurate, and to determine whether it will pay the reduced charges the provider has listed.

Eventually, perhaps after several repetitions of this medical billing process, the claim will be accepted by the insurance company and it will pay for its portion of the charges, while the patient pays for the remainder.

De-Mystifying the Medical Billing Maze

Medical billing can follow a very complex and strange process. For those who don’t or haven’t actually worked as doctors, or for insurance companies, the procedures can be quite opaque, but fundamentally it is quite simple.

When a patient goes to a medical provider for surgery or to be put on medication, or simply to diagnose conditions the patient has been experiencing, there are certain costs for each service the medical practitioner provides to the patient. The provider records these costs in a form, usually a HCFA, or “hic-fuh,” which can be either electronic or paper. The HCFA is then sent to the patient’s insurance company, or sometimes to a clearinghouse or other middleman that can process the claim. When processing a claim, the insurance company looks at how valid the charges that the provider put on the claim are. Different companies have different systems for determining this, but in general it can be expected that about half the charges the provider put on the claim will be paid by the insurer, and half by the patient. Things like a deductible, co-pay, and coinsurance can have a heavy bearing on how much the insurer is willing to pay. If the patient has coinsurance, for instance, the insurance company is obligated to pay for a certain percentage of all the charges on the medical bill.

When the insurer has decided which charges are valid it returns the claim to the medical provider, in either electronic or paper format depending on their customs. Once received the medical provider looks at and analyzes the claim to see what the insurer has agreed to pay. If none of the charges were rejected by the insurer the provider then they will soon pay all the charges on the bill. If any charges were rejected, the provider must make changes to the bill and then return it to the insurer. If, once returned, the information on the bill is accurate the insurance company will pay it. But as with before, it might reject some of the charges, and if so the bill will be returned to the provider, and so on until the provider submits a medical claim the insurer can agree to pay the charges for.

Once the insurance company has agreed to pay for all the charges the provider has listed it falls on the provider to go to the patient to collect any unpaid charges.

Monday, December 04, 2006

Medical Insurance Billing Software

Medical insurance billing software, also called electronic claims software, is now one of the most important elements of a successful medical practice. Medical insurance billing is no longer as time consuming as it once was. Now you have the opportunity to electronically file insurance claims quickly and resolve issues easily. You can spend more time processing the claim and less time in follow-up. This will keep costs down, as insurance processing will now run more efficiently and administrative work will be reduced. You will receive payments more quickly and spend less time on accounts receivable follow-up calls.

Many medical offices utilize the power of the Internet to conduct everyday transactions more efficiently, more accurately, and less expensively than ever before. Some of the functions that can be performed via the Internet include checking eligibility and claims status, receiving referrals and authorizations, and acquiring pre-certifications.

A popular option that many experts recommend is web-based software. All you need is an average computer and a broadband Internet connection. Web-based companies offer many services, such as software support, security, database management and training. Some of the specific services offered for medical insurance billing are the fact that claim files are automatically generated at scheduled times and submitted to the carriers and clearinghouses without user intervention, and automatically downloaded responses that are interpreted and converted into word processing format and claims marked as submitted when the response file is received from the carrier instead of when the biller saves the claim. The web-based option eliminates the burden of maintaining network servers, backup tapes, upgrades or modems. Discover if the software package will fill all the medical insurance needs of your practice by finding providers who are experienced in health care management solutions and issues specific to medical insurance claims.

When searching for the appropriate medical insurance billing software, consider if the software makes the incomprehensible simple. Medical insurance software systems should include a comprehensive selection of features to ensure that you can manage your practice files, claims and billing with maximum ease and efficiency. Some important features to look for are access to the latest forms and guidelines, a step-by-step procedure that will prompt you through the claims process with relative ease, and features that will automatically print the proper forms, documents and bills when complete.

Why waste time on phone calls to insurance companies when medical insurance billing software can provide quick access to claims management. Let your medical insurance billing software interface directly with the carrier and your practice. Medical insurance billing software is just one of the many options now available that make operating a medical practice easier than ever before.

An Introduction to Medical Billing

A growing number of professional, experienced health consultants and medical claim processors are needed in the country today. Healthcare is such a large and technologically driven industry that knowledge and procedures used today are likely to be seen as far outdated only a few years from now. To keep pace with all the various procedures, techniques, and technologies available and distinguish one from the other in a clear manner, definitions are made and coded for every kind of surgical procedure, diagnosis, and complaint. These definitions and codes help doctors ensure that they are compensated accurately for their services by the health insurance companies.

Medical billing is the process by which the needed data for completion of all the necessary forms (insurance cards, patient info, encounter forms, diagnosis, treatment, etc) is collected and processed for payment. This data is then entered into one of a variety of competing medical billing/patient accounting software programs. Medical billers are also responsible for following up using effective paperwork and time-management skills. Having been trained to understand an insurer’s EOB (explanation of benefits), the medical biller must review all claims for errors. If not all of a patient’s balance is covered by insurance, the medical biller has to decide if the balance will be written off or billed to the patient. The main job of the medical biller is to ensure that the physician or facility receives optimal reimbursement for services rendered. Weekly, bi-weekly, and monthly reports are often generated by the accounting software to show the client (physician, facility) whether they are losing or making money on various insurance contracts.

Besides the above main responsibilities, a medical biller must have or develop the following skills:

• Understand and be able to explain insurance terms and benefits to clients and patients

• Accurately read and complete claim forms

• Perform bookkeeping activities

• Bill insurance companies and patients promptly and accurately

• Handle everyday medical billing procedures

• Document all activities using the correct terminology

• Schedule appointments

• Follow-up with insurance companies and patients on unpaid bills

Medical billing is a growing opportunity to the ever-expanding health industry and many people are finding satisfying and well-paying careers working both at hospitals or small clinics and from home running their own medical billing small business.

Sunday, December 03, 2006

Medical Billing Software: An Overview

Medical billing software, also referred to as electronic medical billing software, is now one of the most important components of a successful medical practice. Healthcare professionals from many different specialties can benefit from some level of medical billing software. Innovations in the field of medical billing software have created a new standard of digital precision. Many software packages in general can now fill all the needs of your practice; you can easily locate vendors who know about health care management solutions and will work with your practice to maintain your lead in the business.

When investigating possibilities for your billing software, ask questions such as how and for whom the system was designed, and whether the data will be safe and secure on backed-up, protected, HIPAA-compliant servers accessible only to authorized persons. (“HIPAA” is the acronym for the Health Insurance Portability and Accountability Act of 1996.) Then you can ask for the total price (including ongoing costs like software upgrades) of the entire software package. Some vendors will allow you to build your own medical billing software quote by providing you with a series of questions that will identify your essential needs. Moreover, look for companies who offer free updates to ensure continued efficiency and HIPAA compliance.

To figure out your software requirements, you can either assess them for yourself if you have excellent computer and software knowledge, or contact one of the many medical practice software providers who can assist you in comparing features, prices, and services. There are many companies that will do this free of charge.

One popular option that some electronic medical billing software experts will recommend is to use web-based software. These are companies that maintain practice management programs, electronic medical records, and various software programs on remote computers. All of your data is web-based and accessible through the Internet. These companies are commonly referred to as application service providers (ASPs). All you need to use an ASP is an ordinary computer and a broadband Internet connection. Most packages include software support, security, database management and training. This eliminates the burden of maintaining network servers, backup tapes, upgrades or modems. Additionally, search for software providers (web-based or otherwise) who will consistently upgrade their products in a timely manner, anticipate future developments, and translate those advances into system features.

Because dynamic, scalable software is now readily available to the modern medical establishment, even the most humble doctor’s office can install a fluid software system that everybody can use. Further, as the demand for electronic medical billing software has blossomed, so have the available choices. Medical billing software is just one of the many options now available that make operating a medical practice easier than ever before.

How to Choose the Correct Chiropractic Billing Software

One important step in finding the perfect chiropractic billing software program to fit your needs is to take a look at your existing computer equipment. With system needs changing on a virtually daily basis, it is necessary that the software program you choose be compatible with your hardware. You also have the option of upgrading your system if it is not currently compatible with the software option you choose.

Giving a rough estimate, there are approximately 30 different vendors that deal in chiropractic billing software. Prices can range from a couple hundred dollars to several thousand dollars. While cost is certainly a consideration, assuring that you get the best quality software to meet your needs should be the primary consideration. Many new chiropractors, fresh out-of-school may decide to go with a discount software solution in order to save costs. Experts in the field suggest that skimping on costs in the beginning can cause a huge headache in the future. It is often a lot of trouble and work to change over systems; not to mention that your files will temporarily be on hold while the change occurs. A good word of advice is to thoroughly examine your needs and then choose the appropriate chiropractic billing software program for your practice – base your decision on need, not cost.

Chiropractic billing software can be a godsend for many practices. Not only will you save valuable space from limiting your need for paper files, your office staff will also be able to retrieve important medical information in a virtual instant. Most offices claim that the best aspect of the electronic billing software is the ability to instantly file insurance claims. This is an excellent way to reduce the cost of office staff and postage. Many of these billing software programs also have a built-in clearinghouse feature to enable the business manager to track and locate any outstanding claims.

Those using some of the more advanced chiropractic billing software programs are able to perform a wide variety of tasks that, in the past, could have taken hours or even days. Some programs allow the administrator to submit claims on a patient to multiple insurance companies. Other programs make billing less complicated when dealing with HCFA, Worker’s Compensation and Medicare: these programs have the necessary forms built into the program and are easily accessed. It is obvious that there is a plethora of variances in software; the key is to know what you need in a program and search for one that closely resembles your needs.

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