Submitting claims to third-party payers and then submitting bills to patients for the unpaid amount is one of the most time-consuming and boring aspects of any medical practice. Given the specifics that require accurate statements, it is almost difficult for even a solo provider to manually complete the forms. Medical billing software ensures that claims have the details needed to file and monitor claims seamlessly, such that the provider collects reimbursement in a timely manner for services. Given the variety of medical billing applications on the market, it is important to find the medical billing tools right for your practice or revenue cycle management (RCM) company. Here are some Questions to Ask before purchasing Medical Billing Software.
1. How to Select the Right Medical Billing Software?
It is necessary to ask the following questions to ensure that you invest in the medical billing software that is ideally suited to your needs because the type of medical billing software required by providers who do their own billing and RCM companies differ.
2. What Do You Have in the Way of Training for Our Staff?
Your new medical billing software is just as effective as the end-users who have been educated in working with it. Be sure to ask the provider what sort of training they are providing. In order to take advantage of all its time-saving capabilities, you’ll want your workers to use the software as thoroughly and comprehensively as possible.
See if training can be role-based or whether the supplier just provides fixed, static training that might work well for the supplier, but not for you.
3. Will it integrate with the software scheme for EHR?
If you just happen to be looking for a more robust billing system to combine with an EHR system that you already have in place, you’ll want to make sure it fits well. Make it a priority to ask the supplier about the ease of integration so that you do not eventually have to drop your EHR supplier entirely.
Getting your PM and medical billing facilities from the same provider is the best way to ensure adequate integration, but that will not always be the case for everybody, of course.
4. Will it have detailed financial information to the system?
In order to promote practice management, the best medical software produces receivable accounts, conducts practice evaluations, records effectiveness, and monitors claim reimbursement.
5. How do you comply with HIPAA?
Simply having a “yes, we’re compliant with HIPAA” is not enough. Experts know that no procedure or company is 100% HIPAA compliant; when it comes to compliance, there’s always a spectrum. That is why it is important for any healthcare provider or facility to do an initial assessment, appoint a compliance officer, appoint a security officer for HIPAA, and conduct regular periodic reviews, and then record progress in compliance.
No doctor wants claims and patient records to be treated by a beginner. Ask detailed questions about the company’s business partner agreements, email protection, fax security, data security, record destruction, and destruction of equipment (the PHI of your patients might still be on those computer hard drives!).
6. Are there follow-up things for billing that they do not handle?
Don’t presume that anything will be handled by a billing service or that everything is included in your rate. Ask upfront to make sure you know if there are services they’re not providing.
7. How big is your staff?
Think about it this way: would it put the vendor’s future at risk if it is a small business and the two product developers in charge of doing all the company’s updates plan to change careers? At the same time, if it’s a big enterprise, it could only mean that during boom times, the company is pulling in profits and will lay off everyone until the flood slows to a trickle.
8. Can you take a test run of the software or is a tutorial available online?
An online software presentation usually does not give you the time you need to analyze a medical billing software system sufficiently. Don’t be shy about asking for permission to play with a sample database. Some suppliers of software have downloadable demos that you can install and check out. Find out if there is an office nearby that uses the software and ask the office manager to show you the software if that option is not available. It is very fun for most people to do this.
Read Also: Tips For Evaluating Medical Billing Systems
9. Do they provide services for ‘Contract Negotiation’ to increase the revenue?
Improper contract agreements have been known to hold down 10-30 percent of the revenue of a company; however, an industry specialist may assist negotiate vigorously and still maintain a considerable balance with the payers.
The contract appraisal and negotiation process are difficult and, obviously, most of the workers of a healthcare company will not have the time or experience to deal with it.
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We consult on a wide range of different types of healthcare software, including, but not limited to:
• EMR/EHR Solutions
• Medical Record Systems
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• Surgical Scheduling Systems
• Lab Information Systems
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• PAX Imaging Systems
• Document Management Systems
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