Complete Guide to Medical Billing and Coding Software - PowerPoint PPT Presentation

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Complete Guide to Medical Billing and Coding Software

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Billing medical claims is an intricate and complex process, even for individuals trained in medical billing and coding. The options are limitless, and pouring through countless online articles on the best software for medical billing is arduous and time consuming. Visit – PowerPoint PPT presentation

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Title: Complete Guide to Medical Billing and Coding Software


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Total Integration Precise Revenue Cycle
Management
  • The patient's eligibility is checked
  • Their chart is created with insurance verified
    information
  • Their schedule is set, assigned to a provider and
    has a custom appointment type for easy tracking
  • An ONC Certified medical billing software
    populates the appointment
  • The provider completes the visit and
    documentation
  • Completed note populates as a claim
  • Claim populates the information from the
    eligibility check, from documentation, and from a
    built in custom fee schedule
  • Biller and coder then have an easier and faster
    experience in scrubbing the claim using
    integrated scrubbing tools
  • Claim is submitted via a built-in clearinghouse
    component
  • Any follow ups are tracked in real-time within
    the software
  • The claim is accepted and returned directly
    through the software in an on-board ERA dashboard
    for posting.

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One-Click Eligibility Status Instant Patient
Chart Creation
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Built-In Clearinghouse Components Autoposted
ERAs
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Time-Stamped Internal Notations
Compliance/Pre-Scrubbing Tools
  • Even with the best possible systems and software
    in place, payers will find a way to delay or deny
    claims.  When this happens, it is imperative that
    billers have a tracking utility built into the
    same system that a claim was processed through.
  • Each individual claim should have an area for
    time-stamped notations, filed by username, to
    properly identify who is working a claim, the
    status of the claim, any follow ups or reference
    numbers for calls with payers, etc.  This makes
    tracking claim submission and resubmits easy and
    increases reimbursement.  The power of payers is
    in the complexity of the process simplifying
    this gives the power back to the biller.
  • Medical billing software should also include
    tools for pre-scrubbing claims prior to
    submission.  Using algorithms to find coding
    discrepancies, missing modifiers, or missing
    diagnosis pointers will increase first pass rates
    (ratio of claims being accepted and paid on their
    first submission) dramatically.

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Automated Modifier Rules and Fee Schedules
  • An important automation trigger that,
    surprisingly, is yet to become standard in
    billing and coding software, Modifier Rules and
    Fee Schedules are time-consuming aspects of
    billing. These should easily be set up during the
    implementation phase of a new software, then
    easily left to work in the background.
  • Clinicians aren't billers or coders, and when
    documentation is finished and populates to
    billing software as a claim, modifiers should
    automatically populate based upon pre-programmed
    rules that billing staff decides upon.
  • This same methodology should be applied to fee
    schedules.  Since various insurance companies pay
    out different amounts per code, patients assigned
    to a specific payer should have the payer-based
    fee schedule automatically populate for all of
    their claims without the billing and coding
    specialist ever having to lift a finger.

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Conclusion... and Your Next Step
  • When the time comes to compare medical billing
    software solutions, always remember the key
    components any medical billing and coding
    software needs have. 
  • Billing medical claims is complex, and there are
    countless ways for insurance companies to deny
    clinics money they are rightfully owed.
  • For more information on how In Touch EMR can
    simplify your scheduling, documentation, and
    billing, schedule a demo with us today.
  • In Touch Biller Pro is a medical billing and
    coding software with unlimited support via phone,
    email and live chat, along with a 60 day money
    back guarantee.
  • Click here to schedule a free 'strategy' call
    with the experts at In Touch Biller Pro, or call
    (800)-421-8442 to learn more.
  • To watch a quick 10 minute overview of In Touch
    Biller Pro, watch this video https//www.youtube
    .com/watch?vjlfddFkNxwo
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