· Three main things about every provider have concern.
o Documentation
o Revenue
o Increasing overhead
· Physician Basic administrative Requirements;
o EMR + Billing
· System which can automate there entire billing process.
o Starting point of cause
o Data Entry
o Charge Entry
o Claim Submission
o Re-imbursement by the payer
· Tools that provide to handle the practice in efficient manner.
· Provider need to get rid of taking multiple systems
o Till to date there is tendency to have multiple systems.
o Difficult to carry out different operations of practice.
o EMR for clinical documentation.
o PMS for billing.
o Financial admins.
o Data Management tools for reports.
o Appointment Scheduler for Appointment Scheduling.
· Need to pool to integrate all data at one place & to get maximum benefit of technology (EMR).
· Technology should increase the efficiency of entire billing process.
o Leading to decrease in errors
o Delays of payments
o Denials
o & Increase in cash flow.
· Providers need solution at one place that ties together every solution;
o Physician office work flow.
o Appointment Scheduling.
o Treatments.
o Patient Follow-ups.
o Billing Process.
o Collection.
· Advantages of EMR Technology.
o Easy to use & easy to manage.
o Automatically sharing of information from EMR to Billing system.
o Automatically elimination of redundant due to access to all patient information & insurance information.
o Quickly distribution of data from one central point to other different modules.
o Procedure/Diagnosis codes just added once during treatment & system makes availability of these codes for billing.
o Transfer of e-Superbills with procedure/diagnosis codes to billing system to send claims.
· Denial Management / Collections / Accounts Receivables
o Easy to select proper codes.
o To create e-Superbills right at Point of Service.
o Accuracy in checking while capturing of charges.
o E&M Coder / Wizard.
o Automated claim generation
o Automated claim submission to insurance in minutes
o No hassle of day or two process.
· Reporting System to Practice & Patient.
o Customized reports.
o Easy to access all supporting documents/reports.
o Unique than standalone billing system.
o Useful in case of audit, complete patient charts & documentation available for verification.
· Online Eligibility Verification.
o Instant online check.
o Streamlines patient registration process.
o Sending to right insurance carriers.
o Reduce denials.
o Fewer days in A/R
o Increase in revenue.
o Reduces large amount of paper work.
o Decrease problem of collecting non-paying patients & overall collection cost.
o Enhance in productivity & quality of care.
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