Medical Billing - DME Software Forms

As is true in most of the administrative world, there are more forms than people know what to do with. Go to a doctor's office for a procedure and he'll most likely have you fill out a slew of forms that will end up taking you longer to do than the whole examination or procedure itself. Well, the world of medical billing is no different. There are more forms than you can possibly imagine. We take a look at some of the more common of these forms.

Probably the most common form in medical billing is the HCFA 1500 form. This is the main claim form to bill for services. These forms are enormous. There is more information contained on a HCFA 1500 form than probably on any other form in existence. The amount of information contained in a HCFA 1500 is beyond the scope of this article but some of the main pieces of information are patient personal information, insurance information, items billed and patient medical history. HCFA 1500 form manufacture is big business and these forms are very costly to billers. That is why many medical billers are switching over to electronic billing so that they don't have to deal with these HCFA 1500 forms.

Another billing form, though not as common but gaining popularity, is the UB-92 form for billing. The main difference between the UB-92 and the HCFA 1500 form is the format. For the most part, the same information is transmitted. It's just in different places. There are some things contained on one form and not on the other. But for the most part, they serve the same function.

Another common form is the Certificate Of Medical Necessity, or CMN. CMNs are needed for any item given to a patient where the biller has to show proof that the patient is in medical need of this item, such as a wheelchair or oxygen concentrator. This proof has to come from the doctor who fills out a CMN, which he then has to sign. CMNs are also big business and very costly forms, though not as expensive as HCFA 1500 forms.

Not quite as common are forms called Centers For Medicare And Medicaid Services, or CMS forms. These are actually very new and as of this writing, a new version will be coming out in April of 2007. These forms cater specifically to Medicare and Medicaid claims.

And there are a number of other odds and ends forms to add to the above list. Each one has its own specific purpose. Some you may use only once in a year but if you don't have it, it could lead to lost revenue. So be assured that the price you will pay for that form will be a hefty one.

And if all that isn't enough, each of these forms comes in either regular dot matrix form or specially made for laser printing. Yes, the laser forms are much more expensive.

Make no mistake about it. Medical billing forms is big business and one of the biggest costs to any medical billing agency.

Michael Russell

Your Independent guide to Medical Billing

Medical Billing - DME Software Updates

In this installment of DME software for medical billing, we're going to cover one of the most important parts of the system, updates.

As much as medical billers would like the DME and medical billing industry to be stagnant, that is just not the case. Regulations are constantly changing as well as prices, diagnosis codes, procedure codes, electronic billing specifications and on and on. So what does one do when they just got the latest software and one week later Medicare pricing for wheelchairs has just changed? That's where updates are so important.

In the DME system, there are a number of updates and not all of them are done at the same time. Some are done monthly, some quarterly and some are done whenever needed. For example, diagnosis codes and procedure codes are usually updated on a quarterly basis. These updates, however, are not automatically done by the system. Each DME system is different. Some have updates that you get via the mail in the form of a CD and have to install yourself. Other systems have updates that you can get via the Internet. In most cases, these updates are not included with the software package and not free. You need to subscribe to the service in order to get them. This is particularly true with diagnosis codes and procedure codes.

In the matter of electronic billing module updates, these usually are included with the purchase of the electronic billing package for each carrier. Part of the contract that comes with these modules includes updates for life. Usually there is a small yearly fee to get them. Some companies actually provide free updates because the software itself is so expensive.

In the matter of price changes, these work a little differently. Prices for Medicare and Medicaid allowables usually don't change often. Usually, they only change once a year. Sometimes they may not change for a couple of years. These updates, because they are so seldom, usually are included with the software at no extra charge, though you can bet that the actual cost of the software has these updates factored into the price at the time of purchase.

And then there are odds and ends updates for things such forms. Medical billing forms are always changing because the carriers are always trying to find better ways to do things. One of the most nerve wracking jobs of the biller is to keep up with all the forms changes. Because these changes occur so often, the actual changes to the software are done on an as needed basis and the charges are per form. This is where the software makers usually make a good deal of their money. Some do offer contracts where the biller pays a yearly fee, usually quite high and the software maker will take care of all forms changes free of charge.

Software updates are more common than the common cold. That's why you'll see version numbers of the medical billing software going into double digits. And don't ever expect the updates to stop. As long as the medical billing industry is always changing, the updates will keep coming.

Your Independent guide to Medical Billing

Medical Billing - DME Software Navigation

It would be really nice if when a medical biller opened up the software used to do their medical billing, a little voice said something like, "Press letter A for Administrative Options". Unfortunately, medical billing software doesn't speak to us. Add to that the fact that there is so much involved with medical billing that the menu systems are massive and you've got a real monster on your hands. Talk about walking through a Dungeons & Dragons maze. Fortunately, the navigation for most DME software packages is pretty standard, which makes finding your way around fairly easy.

Most systems have a main menu option where you can go to the main parts of the system. These parts include Installation Options, Administrative Functions, Billing Functions and Maintenance Operations. Some systems have extra options depending on what add ons come with the package, such as retail sales and barcoding. These are usually found under an option called ad ons.

Once you've gone past the main menu options, that's where things start to open up quite a bit. For example. When going into Administrative Functions, you'll usually be greeted with a number of menu options such as adding users, deleting users, changing security levels and a host of other security options. Also a part of administrative functions is setting up your network. There are usually a number of options for adding peripherals such as printers, scanners, barcoders, etc. Basically, administrative functions handle anything to do with controlling your software so that the inmates don't take over the asylum.

Maintenance Operations are a world unto themselves. This section usually involves updating the various sections of the software that has to do with data. Some software systems call this Database Operations. This is where you enter your inventory, doctors, facilities and patients, among a number of other things. Anywhere there is a table of data, you'll usually find it in this section.

Billing Functions include a number of things, such as patient lookup, starting a work order, submitting a work order to a print queue and electronically billing. In some systems the electronic billing subsystem, because it is so massive, is kept separate. This gets kind of confusing for the biller because they're looking for the Medicare electronic billing module and it's not under billing functions. Standardization only goes so far in this industry since every software company is trying to build the better mouse trap.

Add Ons are another world all to themselves. Because there are so many things that can be added to a billing system, there is no way to tell what a biller is going to find in this section. The submenu will have a list of all the add ons but unless the biller is familiar with the add ons themselves, they're not going to know what to do with them. Fortunately, most software companies have manuals made just for the add ons that they include optionally with their system. Just be prepared to do a lot of reading.

Software navigation in the medical billing industry may not be the easiest thing in the world, but with semi standardization, it does get at least a little easier.

Michael Russell

Your Independent guide to Medical Billing

User Friendly Medical Billing Software

Medical billing software is easier to use today than ever before. Innovations in the technology of medical billing software have created a new touchstone of digital accuracy. Once a complicated text-based interface filled with awkward textual fragments, today's electronic medical billing suites are slick, undemanding, and intuitive, finally generating documents your patients can easily understand.

No more complicated invoices in the mail. Now easy medical billing software offers complete billing summaries. All you need to get there is the aid of a medical billing program that includes software that tracks claims management, patient billing, insurance, and scheduling in a single package. Easy medical billing software can create a seamless workspace in which everything from electronic medical records to healthcare forms is integrated and simple to use. Now you can find opportunities that allow you to effortlessly configure software yourself. Some other important features worth noting are; easy access to the latest forms and guidelines, a step-by-step process that will prompt you through the programs many functions, and an automatic bill printing feature, that will reliably generate the correct documents.

Many easy medical billing software packages are now designed like the paper scheduling and hard copy claims processing with which you are familiar. This software model makes learning fast and easy, even for first-time users. When investigating the different possibilities of medical billing software, it is a good idea to verify that the system was designed for the safe and secure back up of data and is HIPAA compliant, and whether the software is easy enough for a computer novice and will, at the same time, meet the needs of a busy medical practice.

Easy medical billing software has now evolved to a place where any staff member of your practice can use it. The simpler programs are usually available in most places where medical billing software is sold. When your office works efficiently, it always translates into better care for your patients. So get on board with the right easy medical billing program and see how simple that paperwork can be.

Medical Billing Software Info provides comprehensive information about medical insurance billing software, HIPAA compliant medical billing software, easy and free medical billing software, and medical billing software prices and reviews. Medical Billing Software Info is the sister site of Medical Billing Web.