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Medical Billing is the Fastest Growing Opportunity in Health Care

by: Jay B Stockman
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On February 16, 2006 the Health Insurance Portability and Accountability Act was finalized, and enacted. This law is designed to establish national standards for all health care transactions, and to ensure the security and privacy of all health related information. The motivation behind this law is to improve the performance, and efficiency of our health care system. This type of reform has created a need for qualified individuals who can utilize the tools of this legislation, and assure full compliance, and maximum reimbursement. It would therefore be a prudent move for health care facilities to employ such individuals in order to avoid mistakes that could have dire consequences.

The proliferation of medical knowledge following World War II brought about an explosion of diagnostic, and treatment procedures. As a result, there became a need to organize, and standardize all these developing technologies. Here is where the foundations of medical coding were born. Medical coding met these challenges, and allowed for a more uniform way of communicating health information under a common language. By January 1979, standardized definitions, and codes were adopted, and used by health care providers, and insurance companies. Since improvements and refinements of medical procedures are constantly being developed, codes must be added and updated to reflect these changes. Today, the number of medical and surgical procedures have become enormous, so too have the codes to describe them. These overwhelming numbers of codes and protocols have made outsourcing medical billing the standard.

Medical Billing and related occupations continue to be the fastest growing opportunities in health care. Insurance institutions and government agencies are investing huge resources to control claims’ fraud, abuse, and establish some degree of reimbursement parity. As a result, more insurance companies, and health care facilities are looking
Today, evolutions in the health care industry are happening at a very high pace. It is only with the assistance of sophisticated computer programs, and standardized coding procedures that medical coders are now able to describe and characterize the tremendous number and various kinds of medical and surgical procedures.
to medical billing experts for help. These companies and practices are looking for experienced and educated individuals; the legal consequences of incorrect billing could be devastating. There is a movement in the industry to make medical billers responsible for inaccuracies, much they way accountants are for tax returns.

At present, there are no standards for educational requirements for medical billers and coders. However, more employers are looking for some formal training at an accredited career training institution. These schools range in training time from nine months to two years, anything less would not be considered adequate. There is a move for certification, and several organizations are sponsoring certification examinations in medical billing and coding. Medical billers and coders earn as much as $8 to $10 per hour in the beginning, and could potentially realize $30 to $40 per hours with experience and additional responsibilities.

Today, evolutions in the health care industry are happening at a very high pace. It is only with the assistance of sophisticated computer programs, and standardized coding procedures that medical coders are now able to describe and characterize the tremendous number and various kinds of medical and surgical procedures. These realities coupled with government regulations, and health insurance guidelines have contributed to the strong demand for experienced medical coders and billers.

About the Author

Jay B Stockman is a contributing editor for Medical Billing Resource. Visit http://all-medical-billing-software.com/ for more information.

Dr. Jay B Stockman is an individual contributor to Google Health Co-op

Dr. Jay B Stockman's public Google Health Co-op profile

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Medical Billing Software/Practice Management System – New Features to Look for in Your Next System
By: Lori Anderson

New features can benefit you with a more efficient practice, lower costs, and increased cash flow.

Medical Billing Software and Physician’s Practice Management Systems (www.daqbilling.com) are the best tools you can use to improve the financial health of your practice. Use one to gain full control over your finances, and grow your business. Cutting-edge medical billing technology can significantly reduce time and costs spent processing claims. Not only will you have a better understanding of the health of your practice, but, cash flow will increase and costs decrease.

Recent advancements include:

1. instant access from anywhere, even away from the office

2. manage multiple offices and functions from one database

3. enhanced scanning - electronically file all claims; even those needing supporting documentation attached.

4. rules engines to identify errors before submitting the claim

5. increased security; fully compliant with new HIPAA standards

6. electronic patient statements

7. electronic remittance advice can eliminate hours of labor posting payments

Stay Connected

ASP (Application Service Providers) - based medical billing software allows you to monitor your practice and stay connected anywhere you have an internet connection, even on your laptop. Multiple locations access the same database. Multiple workstations incur no additional cost. Because your information is stored offsite, minimal memory is needed. A quick download from the internet with your username and password, and you are ready to begin. No complex networking or hardware installations are required.

Easy to Use

Accounting is easy. From the comfort of your chair, monitor your staff to see what claims have been entered, and submitted by day, week or month. Know exactly what has or has not been paid. Medical billing software is so easy to use, a user can be fully trained and processing claims in just a day or two.

Built in Efficiencies

Your staff can be more efficient and less stressed using an intuitive medical billing software system. You may even find your staff can cut time spent on billing chores by up to 30%, so that they have more time to focus on patients and collections.

A collection of insurance payer rules is incorporated so that users can immediately identify and correct claim errors that would delay payment of claims. Some systems allow you to send claims directly to most insurance carriers using a clearinghouse. Carriers can respond immediately so you get faster payouts; most within 14 days. Practice Management Systems can also reduce staff workload by outsourcing the print and mail functions of processing patient claims and statements.

When supporting documentation is needed in order for a claim to be paid, the system can attach scanned letters of medical necessity, accident reports, referral authorizations, worker’s compensation documents, and most importantly EOBs. This eliminates the need to photocopy paperwork and perform chart pulls later if there are any questions on the claims.

Increased Security

When using the internet, many users are concerned about security. A well established vendor addresses these concerns on multiple levels. Just like banking at an ATM, all data is encrypted during transmission and is protected by a username and password.

Furthermore, all data and servers are backed up by expert IT staff at the data center. Redundant HIPAA-compliant servers, with backups in different locations, insure data recovery in case of disaster.

Low Cost of Entry/Low Cost of Ownership

What is becoming standard in ASP-based medical billing software is subscription style pricing, and low upfront cost which cover implementation and professional fees.

You owe it to yourself to upgrade your medical billing software or practice management system to take advantage of these new features. The cost savings will easily justify the upgrade.

About The Author

Lori Anderson is an independent consultant with LAtech. For more information about Medical Billing Software, click http://www.DAQbilling.com.


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