Complete Guide to Medical Billing and Coding Software

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Total Integration Precise Revenue Cycle
Management

• The patient's eligibility is checked
• Their chart is created with insurance verified
  information
• Their schedule is set, assigned to a provider and
  has a custom appointment type for easy tracking
• An ONC Certified medical billing software
  populates the appointment
• The provider completes the visit and
  documentation
• Completed note populates as a claim
• Claim populates the information from the
  eligibility check, from documentation, and from a
  built in custom fee schedule
• Biller and coder then have an easier and faster
  experience in scrubbing the claim using
  integrated scrubbing tools
• Claim is submitted via a built-in clearinghouse
  component
• Any follow ups are tracked in real-time within
  the software
• The claim is accepted and returned directly
  through the software in an on-board ERA dashboard
  for posting.

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One-Click Eligibility Status Instant Patient
Chart Creation
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Built-In Clearinghouse Components Autoposted
ERAs
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Time-Stamped Internal Notations
Compliance/Pre-Scrubbing Tools

• Even with the best possible systems and software
  in place, payers will find a way to delay or deny
  claims.  When this happens, it is imperative that
  billers have a tracking utility built into the
  same system that a claim was processed through.
• Each individual claim should have an area for
  time-stamped notations, filed by username, to
  properly identify who is working a claim, the
  status of the claim, any follow ups or reference
  numbers for calls with payers, etc.  This makes
  tracking claim submission and resubmits easy and
  increases reimbursement.  The power of payers is
  in the complexity of the process simplifying
  this gives the power back to the biller.
• Medical billing software should also include
  tools for pre-scrubbing claims prior to
  submission.  Using algorithms to find coding
  discrepancies, missing modifiers, or missing
  diagnosis pointers will increase first pass rates
  (ratio of claims being accepted and paid on their
  first submission) dramatically.

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Automated Modifier Rules and Fee Schedules

• An important automation trigger that,
  surprisingly, is yet to become standard in
  billing and coding software, Modifier Rules and
  Fee Schedules are time-consuming aspects of
  billing. These should easily be set up during the
  implementation phase of a new software, then
  easily left to work in the background.
• Clinicians aren't billers or coders, and when
  documentation is finished and populates to
  billing software as a claim, modifiers should
  automatically populate based upon pre-programmed
  rules that billing staff decides upon.
• This same methodology should be applied to fee
  schedules.  Since various insurance companies pay
  out different amounts per code, patients assigned
  to a specific payer should have the payer-based
  fee schedule automatically populate for all of
  their claims without the billing and coding
  specialist ever having to lift a finger.

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Conclusion... and Your Next Step

• When the time comes to compare medical billing
  software solutions, always remember the key
  components any medical billing and coding
  software needs have. 
• Billing medical claims is complex, and there are
  countless ways for insurance companies to deny
  clinics money they are rightfully owed.
• For more information on how In Touch EMR can
  simplify your scheduling, documentation, and
  billing, schedule a demo with us today.
• In Touch Biller Pro is a medical billing and
  coding software with unlimited support via phone,
  email and live chat, along with a 60 day money
  back guarantee.
• Click here to schedule a free 'strategy' call
  with the experts at In Touch Biller Pro, or call
  (800)-421-8442 to learn more.
• To watch a quick 10 minute overview of In Touch
  Biller Pro, watch this video https//www.youtube
  .com/watch?vjlfddFkNxwo