Thursday, May 1, 2008

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

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Wednesday, March 26, 2008

Medical Billing - DME Software Item Inventory

In this installment of medical billing and DME software, we're going to cover the topic of item inventory. We're going to explain how the inventory functions work, what information inventory tables contain and how this all ties in with the medical billing of a claim.

Item inventory is a very large part of the DME system. Because DME billing is for durable medical equipment, thus the name DME, a lot of items get dispensed to the patient. These items range from small things like test strips for diabetics, to large items like wheelchairs, beds and oxygen concentrators. Some of these items are sold and some are rented. There alone lies a big distinction and the reason why the inventory tables have to be broken up into what are called purchased items and serialized items. Purchase items are pretty well self explanatory, but some explanation is needed for why rental items are referred to as serialized items.

Rental items are referred to as serialized items because each item that is rented has a unique serial number attached to it. This serial number is tracked for the purposes of billing monthly rentals, which is usually how either the patient or insurance company pays for these items. If a rental item has to be replaced because it is defective or broken, then a new item has to be issued and its serial number noted for future billing. The old item is then put back in inventory and either fixed or thrown away and deleted from inventory.

The information that is contained in inventory is more than what most people realize. It is more than just the description of the item. For purchase items, it includes how many of the items are in stock, how many sales of the item were made, so that companies can track how well an item performs, reorder points so that they don't run out and a number of other things. For rental items, the information includes when the item was rented, how many months of billing have occurred, when the item is scheduled for maintenance and a host of other items. Most normal inventory records contain anywhere from 30 to 100 fields depending on how much information the company wants to track and the capability of the software itself.

How does this all tie in with medical billing? Well, the biller has to know how each item needs to be billed. So for starters, they have to know if it is a rental or purchase item. They have to know the price of the item. They have to know when maintenance is due on a rental item so they can send a bill for that maintenance. They have to know when an item is low so that they can notify inventory, just in case they're not aware of it, which they should be. If a biller has to replace an item, they have to know what replacement items are available. The list of things that a medical biller needs in relation to inventory is endless.

Without item inventory tables, the medical billing process would be a total nightmare because billers wouldn't know where anything was, what it cost and if it was even in stock.

Michael Russell Your Independent guide to Medical Billing

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Monday, March 24, 2008

A Guide to Billing Software

One of the most recent developments in the use of billing software is its use in the medical profession, which has allowed physicians and hospitals have access to an effective and efficient billing system. To have access to such a system, most physicians and hospitals outsource their medical billing services, which means that they have to pay companies to provide them with an effective system. However, as the developers of medical billing software have made their product more user-friendly, physicians and doctors now have access to medical billing software that they can use themselves.

User-friendly medical billing software

Before, medical billing software packages were complicated to use because almost all of them were text-based interfaces filled with awkward textual fragments. As a result, only companies with trained personnel could provide medical billing services using the software. However, the medical billing software of today has been designed to be simpler and more convenient to use, which can mean that there is no need to outsource medical billing services. The medical billing software of today is designed to make learning how to use it easier, allowing any member of a doctor?s staff or the hospital staff to do it. Evidence to this is the step-by-step process that users can follow in using the software. In addition to this, they have also been designed to generate correct and easy to understand documents that doctors could present to their patients.

Apart from these, some of the newest medical billing software has also been designed to allow doctors to configure it based on the requirements of his practice. In relation to this, medical billing software has also been designed to contain more information, which can eliminate the need to file documents with information that can easily be stored in their computers. All of these factors can make a doctor?s practice more efficient, especially with regard to billing.

Billing Software provides detailed information on Billing Software, VoIP Billing Software, Chiropractic Billing Software, Free Billing Software and more. Billing Software is affiliated with HIPAA Complaint Medical Billing Software

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Monday, March 10, 2008

How To Choose The Right Small Business Billing Software

If you own or manage a small business, you know how much time can be spent chasing down paper invoices, purchase orders and sales reports. It can be a real nightmare! That is where billing software comes in. It allows you to record all your customers, sales, invoices, inventory, suppliers (and more) in a PC-based system that is easy to use.

Deciding that you need to invest in good quality billing software is not hard. The tricky part can be choosing the right software package for your requirements. There are dozens of systems on the market claiming to be the holy grail of all your business problems, but choosing the wrong one can cost you valuable time and money.

Here's a simple checklist of 11 things to look for when purchasing billing software for your small business:

1) Customer records This is the core element of any billing system. What sort of information do you need to record about your customers? There's the obvious things like address, phone, fax, mobile, email and web address. But what about marketing-related information like "how did the customer find out about your business?", and "standard discounts" for key clients.

2) Multiple contacts & Communication history If many of your clients are businesses with multiple contacts, can you record individual contact details for each person? Word of mouth is the most powerful form of advertising, and statistics show that one of the most important factors in customer satisfaction is good customer service. Have you thought about keeping a log of all communication with your customers? It can be extremely helpful for improving internal communication within your business, and results in a more personalised service for your clients.

3) Multiple shipments Obviously your billing software will need to create sales orders - that's a gimme. But do you need to record employee-related information, like who the "salesperson" was? What about flexible dispatch options, like multiple shipments per sales order?

4) Search facility There's no point recording all this really useful information if there's no easy way to get to it. Check that the search facility is flexible and easy to use. What criteria can you search by? Here are a couple useful fields you may want to use: customer phone number, customer address, order date, dispatch date and dispatch consignment number.

5) Tax & regional support Are you able to change the tax rates on an order line basis? What about currency formatting? If you and your clients are in Europe, then there's no point using billing software that can only handle US dollars.

6) Reporting Producing accurate reports in seconds is something you no longer have to dream about. In fact it is a necessity in today's competitive market. Ensure your billing software can calculate information on sales based on date, salesperson and customer type. If you operate a B2B business, another key performance indicator may be dispatch totals, based on date, and employee. But one important thing to remember about software... you can only get out what you put in. So if you are looking for a specific report, make sure that information is being recorded by your billing software package.

7) Backup I've seen first-hand how devastating a hardware failure can be. Hundreds of thousands of dollars worth of data can be destroyed in seconds... if you do not have a backup procedure in place. Ensure you select a billing software package that has a built-in backup utility or works with your current backup system.

8) Online help & support If you're a new computer user, then you'll definitely need a software package that has a comprehensive online and easy-to-use help system. Also check out what direct technical support is available through the vendor. Some software companies charge very high fees for personal support, so ensure you include this in your budget.

9) Budget How much are you going to spend? That really depends on the complexity of the software package you are looking for. Smaller software packages can be found under US$100, and larger more complex packages can cost well over US$3000. Take a look at the number of customers you have, the number of sales orders you process, and choose a solution that fits your business.

10) Customisations If you purchase an off-the-shelf billing software package, you may require minor customisations to suit your unique business processes and industry. Some software vendors offer customisations at quite reasonable prices. But ensure you include this cost in your budget.

11) Other features What else do you want from you billing software? If you deal with fixed price products, you may need a comprehensive inventory management system allowing you to purchase stock, manage inventory levels and supplier relations. Some quality software packages also include a useful follow-up diary, allowing you to keep track of tasks and assign them to other staff members.

When choosing a billing software package for your business, make sure you check that it offers everything your business needs. And then the only thing you'll have to worry about is what to do with all your newly found spare time!

Josh Bender is an experienced database developer and qualified software engineer. He helps small-to-medium businesses streamline processes and improve efficiency using reliable and proven software solutions. Take a free test drive of 'InstantSalesTracker', easy-to-use billing software: http://www.InstantSalesTracker.com

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Sunday, December 30, 2007

3 Reasons Why Medical Billing Software is Leading the Way

Since technology changes so quickly, it is hard to begin by saying “in the old days . . . ,” but that seems to fit the best. In the old days, medical companies, service providers, and almost any other business which used automated billing enjoyed the convenience of logging on to a database (or several, they the company had multiple offices) and processing their billing statements. This “old way” required IT and servers, and is actually still the current way for most businesses.

Somewhere along the way, medical billing software was developed to process billing without logging on to multiple databases, without having IT, and without crowding the server. This medical billing software is not only cutting edge, but it is also a miracle because it comes without a large set-up and usage expense. Soon, all companies will be marching to the beat of the new medical billing software drummer.

Let’s explore the differences between the “old way” and the new by looking at the 3 reasons why medical billing software is leading the way in corporate software.

 

Connection

 

The “old way” was convenient for its time, but that time may soon be gone. It consisted of a different database for each office, which meant that if your business had 3 offices, you would have had to log on to 3 different databases to process your billing statements and close at the end of each day.

Using only a broadband connection, “the new” way connects you to an unlimited number of databases at once, allowing you to manage all of your accounts with clients, providers, etc., all in one connection.

In addition, with the same technology now available with medical billing software, you can connect to a secure server from anywhere with a broadband internet connection. You can work from home, the hotel, or anywhere else on a secure account that can only be accessed by those whom you authorize.

 

Capacity

 

The “old way” was to have separate applications for every function your business needed to perform. For example, records of clients, customers, providers, or patients, would each be kept in separate files in multiple databases. Then, to track appointments and schedules, your business would probably have had to open a whole new application.

Now medical billing software has one system for all of the functions your business needs to perform, not just to process medical billing statements. Log on; track your provider records and schedules, your client records and schedules, and your own financial records and schedules, all in one place.

 

Security

 

The question that runs through the minds of every thoughtful business when a new technology that claims to guard so many important and sensitive documents is, “Is this secure software?”

The answer is “yes,” because this advanced medical billing software backs-up, protects, and secures all data on HIPAA-compliant servers, which are accessible only to those whom you authorize.

New medical billing software is also a pioneer in financial security because the software does not require large start-up costs; it is billed the same way it is used: month to month.

Businesses can benefit from the technology medical billing software now has to offer. It has been said that the greatest breakthroughs come at the intersection of two different disciplines. Medical billing software has made a breakthrough in combining business skills with medical practice and providing medical billing software that not only meets medical billing needs but also provides a template for software that any business could benefit from

Joe Miller is specialist in online advertising. For more information on medical billing software, please visit AdvancedMD.com.

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