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

Five Key Benefits of Using Medical Billing Software for Your Medical Practice

If handling your practice's medical billing seems like pulling teeth, you probably need a solution that will simplify things around the office. Many medical professionals are turning to the automated way of processing medical invoices and claims. They are discovering the amazing advantages of using advanced medical billing software to do the work. Here are five key benefits of using medical billing software.

1. Automation for Medical Billing

Every business owner understands the necessity to automate some things around the office. For an MD or other health professional, running the office is no different. Automating the invoicing and claims process in your office through medical billing software is what differentiates yesterday's doctors and today's advanced MD!

You can use the medical billing software to pull up patient or insurance company information any time you need it. A click of the mouse tells who, when, where and how much is due.

2. Reduce Paperwork

In any medical practice, paperwork builds in a hurry. Whether you use medical billing services or your own software, you will reduce paperwork dramatically. Even medical billing services provide and use software to keep up with all patient records, bills, claims, etc. So, filing and organizing paperwork is reduced, thus, saving much space in your office.

3. Reduce Office Expenses

Doing everything by hand takes time and plenty of employees to handle the paperwork during busy times. The medical billing software prices may seem high, but not when compared with the cost of hiring additional employees, paying a portion of their social security and insurance costs, space and time used in the office, etc. You can even save money on your software by comparing medical billing software prices and discounts. Sometimes, you can find the software at very affordable prices. It's considered a tax deduction as well.

Even if you choose to use medical billing services, you can sometimes find very affordable rates. The key is to compare apples with apples. Consider every aspect of the service or software as compared with your current operational costs before making a commitment.

4. Easy Access to Patient Information

Another advantage of medical billing software is you can access your patients' information from anywhere. Most software can be integrated with a program as simple and common as Microsoft Office and with the Internet. This makes it possible to open several practices and have all information in one central location on the Web. You and your employees will be able to update billing information from either office location.

5. Reduce Error Margin

There will always be some human error when entering a lot of information into a computer system. Medical billing software helps to reduce this error by "catching" common mistakes. You can personalize the software for your billing needs and reduce entry errors by pre-programming the software. This will save time and money for the long haul.

Whether you choose to buy medical billing software for your office or use a medical billing service, you can work like the pros. You can become an advanced MD or other health professional that stays ahead of the competitors.

Chris Robertson is an author of Majon International, one of the worlds MOST popular internet marketing companies on the web. Learn more about Benefits Medical Billing Software or Majon's Business and Entrepreneurs directory.

4-Step Training Video for Chiropractic Office Billing Software and Compliant SOAP Notes

Chiropractic office billing software has become mission critical component for chiropractic office profitability and post-payments audit risk management. Practice management systems automate most clinic operation activities, starting with patient check in, SOAP note editing, insurance claim creation, and medical billing.

Unfortunately, the high level of computer skill required by the prohibitively complex chiropractic office management solutions often hinders the doctor's ability to use such solutions correctly, especially for compliant visit documentation and billing. Instead of increasing office productivity and efficiency, technology becomes yet an additional obstacle and profitability impediment. Its high cost and user training problems add insult to injury and frustrate even seasoned and accomplished practice owners.

Since insufficient notes are the most frequent reason for failing a post-payment insurance audit, timely filing of compliant SOAP notes and submission of congruent insurance claims are the most mission critical parts of any practice management automation solution. But SOAP notes and insurance billing are also the most complex parts of such solutions, often confusing doctors and assisting personnel and degrading practice profitability. The ability to manage compliant notes in minimal time without delaying the patient flow is especially important in a high-volume practice environment.

Component-driven SOAP notes are both audit-proof compliant and require minimal time spent for visit documentation. Chiropractors using Vericle's SOAP notes, receive a training video, which has two parts. The first video trains chiropractors taking SOAP notes during the initial visit and the second – during subsequent visits. The training video follows a four-step outline:

1. Systems menu selection to access patient SOAP notes from Appointment Scheduler
2. Date and Doctor selection
3. Component-driven narrative creation for accelerated and compliant editing:
   1. Patient has Subjective complaints
   2. Objective tests show problems that support patient's complaints
   3. Activities and Daily Living of the patients suffer because of same complaints, which are confirmed by objective tests
   4. Show diagnosis Assessment isolating the problem for treatment
   5. Comprehensive Plan shows specific actions with measurable improvement objectives including starting time, treatment duration, and expected benefit.
4. Subsequent visit documentation - select existing SOAP note components for change:
   1. Few individual notes can be the same or even show occasional exacerbation
   2. Overall the series of notes demonstrate a trend of improvement across Subjective complaints, Objective tests, and ADLs
   3. Assessment and Plan often stay the same until re-exam

Chiropractors using Vericle system have access to the training video directly from any screen on the system using a special-purpose Wiki (shared knowledge repository on the Web). Combining Wiki with video technology solve many of the difficult training problems of chiropractic office owners and managers for compliant visit documentation and billing. Such combined training solution amplifies the advantages of individual training video materials with Wiki's ability to reach every chiropractic office, share experience of real-world experts, and help practice owners and managers stay smart at their pace and on just the content they need to know. The “on-demand” nature of an integrated solution enables doctors to learn from experts wherever and whenever it is most convenient to learn.

Yuval Lirov, PhD, author of "Practicing Profitability - Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office: Scheduling, SOAP Notes, Care Plans, Coding, Billing, Collections, and Audit Risk" (Affinity Billing) and "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net - Distributed Billing and Practice Management Technologies. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com.

Betting on Billiards

Billiards is one of your favorite sports and you've been playing for a while. You love betting on billiards just as much as you love playing it. The satisfaction of winning and collecting money is one of the best feelings. Unfortunately, you aren't that good at it and could use some advice. Betting on billiards is an art, and it isn't enough to just be good at the game.

Before you start betting on billiards you need to make sure you understand the game, the rules, and all its variations. Betting on billiards is easier if you not only have good technique but also remember all the rules and games, even the most obscure ones.

Once you understand all the rules, you shouldn't start betting on billiards until you are sure you have an excellent technique. Advanced understanding of the physics of the game is also an asset. If you want to be a better player, you can either take lessons or play a lot of games with someone who is better than you. You probably shouldn't start betting on billiards until you are sure you can compete with even the most advanced players.

You also need to understand that betting on billiards isn't the same as playing a pickup game with a friend. Since the stakes are higher, you will need to perform your best. If you are the type of person who can't handle the pressure, this will affect your ability to win games and win the pot.

Betting on billiards requires an advanced knowledge of the game, the rules, and all its various techniques. There are variations within the basic game, and gamblers are fond of taking advantage of them. The more you know about the game, the more successful your efforts to start betting on billiards will become.

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5 Facts About NPI For HIPAA Compliant Electronic Medical Billing Software And Service

The 1996 Health Insurance Portability and Accountability Act (HIPAA) established national privacy and security standards for electronic health care transactions, including a national identifier for providers, health plans and employers. Accordingly, by May 23, 2007, healthcare providers and all health plans and clearinghouses must change both their processes and information systems to implement HIPAA’s National Provider Identifier (NPI) regulations.

Background on the NPI regulation

• HIPAA mandated regulation
• Effective nationwide on May 23, 2007
• The compliance date for health care payers with less than $5 million in annual revenue is May 23, 2008

 

What is the NPI?

• A unique 10-digit identification number
• Assigned for life to a provider and de-activated only upon death, retirement, or identity theft
• Replaces multiple legacy provider identification numbers, including Medicare UPINs, commercial payer IDs and state Medicaid IDs
• Contains no identifying information related to the provider - randomly generated
• Independent of key provider information changes, such as practice location or specialty
• Providers have 30 days to update their NPI record

 

Who is affected by the NPI mandate?

• Payers
  • Health plans
• Clearinghouses
• Providers
  • Organizational providers
  • Individual providers

 

Why is the NPI necessary?

• NPI delivers two-fold benefits for payers and providers:
  • Simplifies communication and administration
  • Facilitates efficient electronic transmission of certain health information
• Streamlines detection of billing fraud and abuse
• Improves debt collection efforts

 

What are the challenges of NPI implementation for payers and providers?

• Providers and payers must exchange information
• Technological implementation cost within organizations

 

What should payers and providers do now to prepare for the NPI?

• Organize project teams to ensure a smooth transition
• Identify and address processes and information system changes
• Evaluate outsourcing solutions offered by technology vendors

  Yuval Lirov, PhD, author of "Practicing Profitability - Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office: Scheduling, SOAP Notes, Care Plans, Coding, Billing, Collections, and Audit Risk" (Affinity Billing) and "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net - Distributed Billing and Practice Management Technologies. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com.

Top 5 Strategies to Improve OTC Payment Performance With Electronic Medical Billing Software

For many practices, the proportion of over-the-counter (OTC) payments has recently grown from an average of 15% to as high as 75% of total payments. Systematic OTC collections, including measurable process that emphasizes upfront collections, often yield double-digit billing performance improvement. Most importantly, a disciplined and transparent collections process improves provider-patient communications, while early payment collections are also quicker and easier. Better communications and happier patients mean better health and more profitable practice.

OTC payments include copays, fees for non-covered elective services or retail products, and any outstanding balances. Successful collections of OTC payments require measurable collections process, specialized information technology infrastructure, adequate personnel training, and discipline.

OTC payment collection performance and costs greatly depend on elapsed time between service and payment. Collections performance dependence on collections timing stems from the dynamic nature of price-value relation: initially, perception of value received is high in the patient's mind. Similarly, correlation between value and price is also high. However, OTC payment collections grows more difficult in step with fading memory of service benefit.

Systematic measurement of OTC payment quality is critical for its performance improvement. Vericle's OTC payment quality metrics include the percent of accounts receivable beyond 120 days and the time spent on collecting on old account balances. While the national average of the first metric hovers around 18%, some practices have accumulated as much as 50% of their accounts receivable beyond 120 days. The second metric measures the front-office collections efficiency and it too varies widely between few hours per month to double digit hours per week spent by front office personnel chasing unpaid OTC invoices.

According to Vericle experience, the following systematic and measurable payment collections process leverages electronic medical billing software and establishes the discipline required for double-digit billing collections improvement:

 

1. Publish your payment collections policy and standard responses to typical patient's objections.

    

    

2. Clarify patient statement generated by your electronic medical billing software:
   1. Make outstanding balance easily identifiable.
   2. Add specific statement about the time period expected for balance payment (typically upon service or product delivery).
   3. Include phone number to call for patient questions.

    

    

3. Use electronic medical billing software to
   1. Test patient's eligibility and coverage. The results of such a test define patient's copay prior to her arrival to the clinic.
   2. Generate front office alerts about impending patient visit with unpaid OTC balance.

    

    

4. Train clinic physicians to direct patients to front-office staff to review financial statements.

    

    

5. Train your front office to collect OTC payments:
   1. Hold your front office staff accountable by setting up specific and personal collection goals.
   2. Use electronic medical billing software to track individual front staff collections performance.
   3. Establish personal awards for accomplishing collections goals and periodically review personal collections performance.
   4. Train your office staff to receive electronic medical billing software alerts.
   5. Develop a payment collections script and rehearse it with front office staff to improve front-office staff-patient communications.

 

Successful OTC payment collections help patient relationship management and improve practice profitability. They require measurable collections process, specialized information technology infrastructure, and adequate personnel training and discipline.

Yuval Lirov, PhD, author of "Practicing Profitability - Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office: Scheduling, SOAP Notes, Care Plans, Coding, Billing, Collections, and Audit Risk" (Affinity Billing) and "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net - Distributed Billing and Practice Management Technologies. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com.

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.

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.