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Wednesday, December 24, 2008

ICD-9 Coding Automation Software Saves Thousands Of Man Hours

Custom ICD-9 Coding automation software saves clinics thousands to millions of man hours. The software reads the file of thousands of reports and fee sheets and separates them into collated exams. The parsing engine pulls information like procedure codes, doctor up-ins, POS, Dept, etc.. into a data file associated with each exam. This process happens nightly. The original source files are stored in a backup location.

In the morning, coders come in and are presented each exam in order of date, insurance type, and department (POS-DEPT). This saves hours in printing and sorting by hand. The coder need only look at the procedure code and skim the report to enter the appropriate ICD-9 code and hit next. If additional procedures need to be added, they can be on the fly. Data checks are performed before the exam is passed on to the next process. Coders can add a note to each exam for reference at other stages of the process. The report and fee sheet can be toggled for viewing with a single click of the mouse.

The exam then goes to enhancing for insurance and demographic verification. There are 2 virtual bins for exams that are missing information or have follow up exams associated with them. Fields can still be edited at this point for correcting up-ins and attending physician codes.

The exam goes to charging where it is presented again in sorted order. The exam can be entered into the charging software's fields manually or using a custom add-on, can be pasted with a single click of the mouse.

That night, all batched/charged exams are converted into pdf format and stored in a searchable history folder.



Article Source: http://EzineArticles.com/?expert=David_Lang

How Physicians Manage Their Practice With Medical Billing Services

Physicians today have many responsibilities scheduling appointments, filing paperwork, upkeep of the office, and all done while caring for their patients It can seem like an insurmountable problem when the physician has to set time aside to bill their clients and insurance companies.

It may seem like all they have to do is just fill in the blanks and send it off, however there is a lot more involved and the physician has to take time away from his or her patients to get it all done.

When a physician has to take the time to sort through insurance paperwork, he or she has less time to spend with patients. This can lead to a physician turning away patients because he or she does not have the time to see them.

Medical billing services were developed to assist physicians in managing their medical practices. It allows physicians more time to care for patients and less time sitting in their office staring at stacks upon stacks of paperwork.

Statistics indicate that an average of thirty percent of all medical claims sent to insurance companies never get paid. The total amount that is never paid each year is staggering, however there is light at the end of the tunnel.

Medical billing services can guarantee up to a ninety eight percent return on the claims that they process, making it cost effective for even the smallest practice.

What many physicians do not take into consideration is that there is a cost to process each claim with an insurance company. This cost can reach as high as ten dollars per claim. A Medical billing service can reduce this cost to only a fraction of what is charged to physicians.

Another aspect of billing is that the physician must wait up to three months before the insurance company processes their claims. This can create serious financial hardships for the physician if he or she cannot meet their weekly or monthly financial obligations. Medical billing services file their claims electronically and monitor each one to ensure that the repayment period is days and not months. When a physician uses Medical billing services, the amount of errors and rejections are reduced to almost none.

The rules, regulations and laws regarding insurance and billing change or are updated frequently. This means that a physician who does their own medical billing has to struggle between keeping current with all of the updates and caring for patients. It can seem like an endless battle. Medical billing services can help because they are up to date on any changes that are initiated.

By using a medical billing service, the physician is free to care for more patients and give each one more of his or her attention.

One of the greatest advantages of Medical billing services is that any physician can use them. Whether it is a practice with a hundred doctors or just one, each physician will receive the same quality service.

Medical billing services are available to any type of physician whether he or she is a podiatrist or a pediatrician; Medical billing services can assist with all medical billing issues and concerns.



Article Source: http://EzineArticles.com/?expert=Peter_Geisheker

Health Savings Account Fundamentals - Asking For Cash Discounts!

The purpose of this short, easy to understand report is to make you aware of the benefits of paying cash to your health care providers.

Health care providers are being educated to the benefits of catering to patients who hold HSAs. Health care providers are being bombarded with high service charges and huge reductions in payment because the giant health insurance companies and HMOs first take their portion and then typically don't pay the doctor or health care provider for 60 to 120 days or more for his/her services. The average health care provider typically has 2-3 people to administer and maintain this huge cumbersome insurance paperwork system. When you offer to pay cash immediately for health care services, you deserve and will receive a significant discount, many times 50% or more off of what you would normally pay. This is a very important thing to know. The average insured family spends less than $2000 annually for health care. If you get a 50% discount off that for paying cash, your out-of-pocket expense is only $1000 per year.

You will receive a statement with all of the proper coding that you will have for your HSA administrator if you wish a refund later. Your doctor saves dollars because he/she does not need to process your visit through their insurance department and your visit does not have to go through his/her billing department.

You must know and understand how your new HSA works so you can receive every benefit provided. Notify your health care provider before your visit of your intention to pay cash at the time of service and inform him/her that you don't have direct health insurance. Then ask for their cash discount policy. Simply ask what his/her cash service fees are in comparison to his regular fees. This applies to your dentist, doctor, chiropractor, you name it. It is to your benefit to know exactly at the beginning what your discount and cost for that service will be. The main benefit of having your HSA is that you are now in control of your health care. You are no longer tied to any one specific health care provider and you have the complete choice of who you use. Smart consumers shop for the best deals on everything else, why not health care?



Article Source: http://EzineArticles.com/?expert=Marc_Hart