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Medical billing and coding is a field in the health care system that is growing day by day. Here, we discuss some simple tips for a person thinking about creating a home-based medical coding or billing business.

Medical Billing and Coding Business Starting Tips

  • One of the very first things that you need to do when planning to start medical billing from home is to earn a certificate in medical billing and coding. There are many colleges that specialize in medical billing and coding courses. You can join either them or some reputable home study or online course. Wherever you go, make sure that you get a certification as it is needed in persuading good clients. Since there are many people looking to start a home based medical billing job, if you wish to have an edge in the industry, you ought to have the necessary certifications. While selecting an institute to study medical billing, make sure that they teach you about medical billing software in detail.
  • It is also advised that you do a part-time or full-time job with some best medical billing services company for a short period of the span, so that you may have a good understanding of the industry and the needs and trends in the industry. Working for a few months in a medical billing company will help you in familiarizing yourself with basic medical claims processing, billing software, medical terminology, and billing and coding procedures. Make sure that you have learned everything about the field before you start your own home-based medical coding and billing business.
  • One of the most important things that you need to be sure about is the finance part. Make sure that you do have at least three grand at your disposal. This is the main reason for asking you to do a few months of job in a company that uses medical billing software for processing their job. You need to have the following items in your office even though you are planning to start a medical billing or coding business at home. The items include a computer, desk and chair, filing cabinets, office supplies, coding and other medical billing reference books, initial marketing materials such as business cards and brochures, and the billing software.
  • Another thing that you need to research is about the different medical billing software available in the market. Do a thorough research and select the one that is affordable and comes with good features.

If you follow the simple tips given above, you will be able to run a medical billing business successfully from your home.

Posted on October 9, 2014 by · Leave a Comment
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Healthcare field is quite vast and there are many areas about which people are still not aware. One such field is medical billing. As you are aware, hospitals deal with more patients and as per the Accountability and Health Insurance Portability Act of 1996, information of all the patients need to be recorded. This need to done electronically. In order to ensure that information is recorded systematically and effectively, hospitals and health clinics purchase medical billing software.

These software programs are designed in a way to help different groups working to get medical claim or bill settlements. They include medical institutions, medical secretaries, different insurance companies and anyone doing medical billing. The medical billing software should be acquiescent with the terms of HIPAA. The software used for medical billing is often compatible with the most popular operating system, Windows. They have been incorporated with different Automatic Billing System that can help to prepare bills with more accuracy. However, software is just not enough to render medical billing services. You need to acquire excellent training in medical billing field in order to pursue a medical billing career.

Training schools and colleges offer their students with excellent training and they even get introduced to medical billing software. The software, on the other hand, offers emailing facility to it users and the users can generate reports and data and send them to the desired destination when required. These software programs even have features to save the mistake and time and you could rectify them. The software programs that are used for medical billing are often customized to help different fields of medicine. You could pull the reports according to your wish and get them printed if required. The software is also designed to track the medical claim of patients. This could help the medical billing specialist to have a better know how about the status of a claim.

Medical billing is a growing field and number of people are choosing it to enjoy an exciting career. On completing your training, you could start working as a medical billing specialist at any reputed hospital or medical clinic. Even though software for medical billing is utilized by the majority of hospitals, a medical billing specialist ought to have a thorough knowledge of the process to keep himself efficient.

Posted on September 30, 2014 by · Leave a Comment
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Are you in pursuit of a professional career that can fetch you a handsome salary and a good future? Then medical billing jobs will prove to be one of the best options for you. Nowadays, you can see that most of the super specialty health clinics and leading hospitals outsource their medical coding and billing jobs to professional medical billing companies.

This is one main reason why experienced and qualified medical billing practitioners are always in huge demand. These days, advanced medical billing software are being introduced to the market on a random basis. All these high tech equipment are launched with one prime intention. It is to cut down the unwanted workforce and streamline medical billing and coding jobs in the most cost effective way. In such a scenario, professional medical billing companies always prefer to employ people who are technically well versed with the advanced medical billing software. Read along to know more about the subject.

Significance Of Medical Billing Jobs

One of the greatest advantages of having the advanced medical billing software at service is that accurate insurance claims will get faster reimbursements. The best part is that medical billing companies will not require additional software to deal directly with more private and government payers.? Adding to that, there will be improved and increased reimbursements by an average of almost 5 percent. This will happen in the first 2 months immediately after the installation of the software.

You can also use the medical coding and billing software to verify different insurance benefits without much delay and to make appropriate adjustments in the billing of insurance claims. Another significant advantage is that you will be able to perform the prompt follow-ups on the rejected insurance claims and the accepted insurance claims in a quick and hassle-free manner.

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The software includes additional beneficial features such as claim scrubber, electronic remittance advice, and report and analysis. Claim Scrubber improves accuracy by performing the verification of the entire insurance claims and that too against the huge database comprising of 10 million and more of common insurance claim edits.

The feature known as electronic remittance advice will enable you to reduce the paper works in a considerable manner. In addition to that, you will also be able to store all the confidential medical data into the cloud space. Reporting and analysis are the features that are in charge of your fiscal health. You will be able to track the entire outstanding payments and the reimbursements with the help of standard and customizable reports.

Posted on September 5, 2014 by · Leave a Comment
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Medical Billing Software

You can see that nowadays most of the leading hospitals and health care centers outsource their medical billing jobs to several eminent medical billing and coding companies out there. This is one reason why medical billing jobs are in huge demand. At the same time, this demand and dependency on a huge workforce can be cut down significantly with the help of effective medical billing software. The facts mentioned below will tell you more about the advantages of using medical billing software.

Medical Billing SoftwareWith Pre And Post Payment Audits

One of the major advantages of using the software is that you will be able to get the prepayment review. You can see that the prepayment review usually happens in two main stages. One stage is known as identification and the other one is known as confirmation. Most hospitals will come across overpayment identification procedures that will require the cross-referencing systems that actually manage the enrolment criterion of the provider, recovery case management and authorizations for both the providers and the insured individuals.

Overpayment conformation is the mode of confirmation that utilizes the specific feature known as Correct Coding Initiative or CCI along with Local Medical Review Policies or LMRP. Adding to that, more rules are out there for categorizing potential over-repayments to Duplicate Payments and Clinical or Contractual Eligibility.

The Overpayment confirmation is inclusive of tests conducted for intra-claim, cross-claim inconsistencies; inter-claim, date range duplicates, re-bundling, under-coded visit level, wrong E&M crosswalk, inappropriate modifier codes etc. At the same time, prepayment review utilizes a power and extensively data based technology. A vast majority of the prepayment review procedures can be successfully automated either with a denial notice or with the explanation of benefits (EOB). Post-payment audits consume more resources, especially during the below-mentioned audit stages.

Medical Billing And Coding Software

Audit execution

This audit session where the auditor will analyze and request medical notes specifically supports the data that reflects inside the sample of paid claims that are produced during the preparation stage of the actual audit. The main objective of the auditor is to ascertain the proportion of claims that are found unsupported and within the complete set of the audited sample.

Target identification

The identification report for the audit reveals the complete annual revenue along with the degree of variance that is there between the actual audit target and the peers pertaining to the same geography and belonging to the same specialty.

Posted on August 4, 2014 by · Leave a Comment
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Medical Billing Software

Computers and advanced software programs have simplified our day-to-day tasks in various fields. This situation is not different in the medical field also. Medical billing jobs have always been growing constantly. This field has tremendous scope for job seekers and provides the opportunity to pursue a great career with handsome salary.

Advanced medical billing software makes the tasks of a medical billing executive much easier. Read along to know more about the salient features of using advanced medical billing software programs.


Leading specialty hospitals make use of latest software application always. One of the greatest advantages of using advanced medical billing application is that various accounting practices can be unified with this, which further helps to save time and make substantial savings. This, in turn, proves to be a beneficial factor for hospitals to enjoy significant savings on an annual basis.

Not just the hospitals and health care centers that make use of advanced software, but many individual medical practitioners nowadays employ the special automated features of medical billing software to streamline their work. With the advent of such software programs, most of the manual medical accounting jobs can now be done in an automated way.

Another significant fact is that we can use the highly advanced technical features of a medical billing application to do multitasking. Modern medical billing software reduces manual paper works in a very considerable manner.

medical billing software

Medical Billing Jobs

It is a fact the software can at times cost a fortune. Yet, on the other hand, purchase of the software will eventually be much resourceful as it can significantly reduce the expenses to hire extra employees for the medical billing jobs.

You must also note that technical errors are greatly lower with such software when compared to manual methods. Medical billing jobs are to be done with an eye for every minute detail. Even the slightest of technical errors can be serious and cause many legal complications. In this context, medical coding and billing software is a real boon as it helps to perform crucial billing jobs in a foolproof manner.

The preparation of automated insurance claims, reports, and calculation of medical invoices can be performed in a swift and hassle free manner with the help of the unique software. Work efficiency will improve in a remarkable way and pave to maximum cost reduction.

Posted on July 30, 2014 by · Leave a Comment
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Medical Billing Software

As a large number of people visit medical institutes each day, it has become inevitable for these institutes to use efficient medical billing software to manage the finances. For this purpose, many medical institutes have started using electronic billing software, which comes with a lot of benefits. In this post, we will take you through the key features of these software applications.

The first and most important function of the billing software is the tracking of patient demographics. Another function is that it tracks each visit made by a patient. With this, the institute can find out the diagnosis carried out on the patient, the treatments taken etc. The third important function of this software is the tracking of billing information. It helps to keep a record of all bill payments and insurance related payments. In addition to these functions, the software helps to schedule appointments. You may also use this software to generate reports.

The use of billing software in a medical institute will help the authorities to ensure that it adheres to the guidelines of Health Insurance and Accountability Act. This will help to increase the security standards of the Institute.

As we all know, keeping manual records about patient bills is a hectic activity. Whenever a patient comes to your facility, it might take a lot of time to find the records of his earlier appointments if it is kept in a written format. However, with the medical billing software, you may simply acquire the patient details with a few simple clicks. This increases the overall efficiency of your service and the patients would be happier with your service.

Medical Billing Software

Another major advantage of using this software is that you could avoid the occurrence of errors. If you were to do manual calculations, the error percentage could be very high. This can result in customer complaints. However, you can avoid such errors if you use the billing software. Now, even if an accidental error occurs, you can correct it within a few hours and resubmit the information. Keep in mind that this resubmission could have taken weeks if you were to correct and resubmit them manually.

If you are focusing on providing efficient service to your patients, then this software has a major role to play. You can find medical billing software with various features and functions. Choose the software that caters to all your needs!

Posted on June 13, 2014 by · Leave a Comment
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Medical Billing Software

Buying An Appropriate Medical Billing Software

If you plan to implement medical billing software solutions for your health clinic, the options are aplenty. Indeed, there are a number of software packages with unique features and choosing from among these can become too tedious. A number of factors need to be taken into account while purchasing billing software for health clinics.

One important criterion is that no matter what type of software you purchase, it is important that it protects the rights of the customers or in other words, the rights of the patients. In fact, this needs to be satisfied as per the Health Insurance Portability and Accountability Act of 1996. The right choice of the software is one key factor that determines the success and efficiency of the service.

Factors to be considered while purchasing billing software

It is possible that many hidden costs are included in the purchase price of billing software. It includes software backup, management of databases, upgrades, software crashes and many more. While purchasing the software, you need to consider the above mentioned hidden costs as well.

As a business owner, you must also see that the price, flexibility and easy to use features are ensured. It is better if you conduct some research and then arrive at a decision. Compare the services with the needs of your institution before you shortlist. It is wise to make a list of services that you need from your billing software. Consider the number of physicians and then decide if you need a program that provides multiple practices. Answer questions on the need for practice management software.

Purchasing Billing Software

Medical Billing Software Purchase Requirements

You can start reviewing the list of billing software. Check if it suits your purposes. Make sure that you get the price quotes correctly. It is important that you choose online medical billing software so that it holds your information on their servers.? More importantly, you can access the data from any computer at anytime. In today’s age, it is a waste of time to carry on your operations with your office system alone. Imagine the plight of your future business, if a sudden system crash happens!

You need to go for a free training on the billing software, before you implement the same. Obviously, customer reviews can be of immense help, but in the same breath, I would like to add that, matching the software features with your requirements and levels of training are the core factors to be considered at the point of purchase.

Posted on May 21, 2014 by · Leave a Comment
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Medical Billing Software

Select Medical Billing Software

Medical billing is an ever growing field and there are lots of people who pursue this medical career. There are several processes and procedures involved in medical billing, which requires proper training. People who are rendering their services as medical billing specialists may be working either for a hospital, a medical clinic or even online. When the work is web based, the medical billing specialist would have to do many tasks which are repetitive. This could make them lose plenty of their time and money. This peril could definitely be avoided by using an automated system in medical billing.

Implementing an automated system will help save time spend on a particular task. In order to render medical billing tasks easily, you can seek the assistance of medical billing software. This will definitely help you to bid goodbye to the mundane tasks involved in medical billing. You can even plan the schedules and tasks associated with medical billing. Proper planning with schedules and timings will help the medical billing analyst to accomplish the tasks quite easily. Billing software can offer all these facilities and keep an eye on the cash flow. The software will help you to know about the revenue earned through billing. The chances of clerical errors can be avoided if billing software is adopted.

If you continue to work using papers and files, you will have heaps of them before you within a short span of time and managing them can turn into a nightmare. If you wish to have a control over the entire billing process, then choosing a billing software would be a much better option.

Traditional medical billing software

This is an older method where you need to have Windows platform on your computer in order to get the software functioning. But

Mundane Tasks

Importance Of Medical Billing Software

you will have to think about manual data synchronization on a daily basis, which is equally hectic. Even though medical billing is done on software, the manual data transition can definitely consume most of your time, which can be a real trouble.

Web based medical billing software????????????????????????????????

Internet has finally enabled the billing software to be web based. The major advantage is that those working online could connect and communicate with other medical billing specialists through a public network. Updating claims has thus turned faster and effective. You could retrieve the desired information quickly using web based software.

Posted on April 23, 2014 by · Leave a Comment
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Medical billing software

Medical billing statements

Medical billing is the procedure where medical claims are submitted and the follow up is done with numerous health insurance companies. This is to collect payments for the services obtained from a health care provider. It is the same process used by most insurance companies irrespective of being government authorized programs or private firms.

Writing the CMRS exam, RHIA exams etc and getting proper certification will be an added advantage for medical billers. This will provide a competitive edge over other medical billers in the field. Medical billing is considered as a lucrative job industry these days. Are you planning to set up a medical billing firm? Then make sure that you are having the right type of medical billing software at your service. The following facets will tell you more about the various requisites of effective billing software.

Speed and accuracy

Speed and accuracy are two important factors of medical billing software. Make sure that the billing software you use works with optimal speed. This will help you to process more works and increase your productivity. In addition to that, there are advanced software that provide all the required tools in one place. There are many limitations when you use conventional medical billing software. You have to manually export to upload claims to different clearinghouses. The unique and advanced technology of the modern billing software has several automated features that will ease your tasks in a very considerable way.

Centralized billing

The centralized billing features of the software will help you to manage all claims processing for the clients. You can also review the claims, do appropriate edit works and approve charges online.

Automated billing process

You will be able to perform automated and customized billing works. This will enable you to customize all the medical billing statements before sending it across to customers.

Generate separate statements for medical plans

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Advanced medical billing

You can produce separate plan statements from regular medical statements. In addition to that, you can create default payment plan divisions, add messages to the medical statements and preview them prior to processing.

Process credit cards

The advanced billing software will help you to process all credit cards that you have stored on a file. There is an option that enables you to view credit limit of the patients before selecting cards to process transactions.

Always select billing software that is loaded with advanced features. It will help to perform all your tasks in a very cost effective and successful way.

Posted on March 21, 2014 by · Leave a Comment
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good medical billing software

Over the course of time, medical billing has gained high importance and popularity. A good amount of knowledge and idea in certain fields such as insurance claims, medical terms and so on are required to be a master in medical billing. The services of medical billing software are often used in super specialty hospitals as well as clinics.

Medical practice management software

Medical practice management software is what the new generation billing software is known by. Various functions and features are available for the software like billing information and payment tracking, appointment management and so on. The records produced by the latest medical billing software meet the security standards set by the Health Insurance Portability and Accountability Act.

Things to know

While going to purchase this software, this compliance is of great importance and you can easily rule out the software fraud geniuses. While availing the latest medical billing software, a few things are required to be essentially known from the provider.

  • Will the management of numerous numbers of accounts be possible with the software?
  • Can different offices be able taken care of by the software?
  • Can the present diagnosis codes and procedure be understood by the software and whether future updation will be possible?

billing software expensive

A trial version of the software can now be availed so that you can get to know if the software adheres to your requirements. You will be able to clear any doubts with the provider regarding the software. Reputed and efficient billing software cannot be availed very cheaply. One will have to definitely shell out anything in the range between $400-$500 to obtain efficient and reliable billing software.

Refrain from cheap billing software

If billing software is available for as low as $50, one should always stay away from software of those kind, as they are not dependable and may not even work. You are actually being duped and losing your valuable money.

With the online era witnessing unprecedented growth, online billing is gaining popularity and there is a slow momentum shift from electronic billing. The disadvantage of online billing is that the cost for the services are quite sky rocketing (exceeding $200 for a month). Therefore, the question may arise regarding the requirement for online billing. So proper research should be performed and one should decide wisely to go for the reliable electronic billing software or online billing.

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