Feb 20, 2017

5 Things to Consider in a Medical Billing Solution

Alanna Diffendal  |  Updated September 8

A man uses a tablet with graphs on the screen

The complexities surrounding effective billing for your office might seem daunting, but it shouldn’t be. You just haven’t found the right solution that can make it effective billing in-house happen. Everything from procedure codes to collecting patient balances, there are requirements that must be met for the practice to keep moving along. The best part is you don’t have to spend thousands of dollars per month on software to meet all the requirements.

Things to consider when evaluating Medical Billing Software:

1. Training & Support

In order to successfully bill, you don’t have to hire a full team of medical billing specialists, but you certainly can. If you have a small practice, make the most of your resources and educate them about medical billing. You can even eliminate having multiple systems for data entry by having an integrated Electronic Health Record system so medical billing codes, patient demographics, and insurance company information will be pre-populated in the Billing system for you! RXNT|PM (practice management) offers ongoing training and continued support to all our clients (at no additional cost).

2. ICD-10 Compliance & Mapping Tool

We get it. Heavy books can be a pain to carry around and/or search through to find the accurate diagnosis code. What if you forget the secondary code? That’s why RXNT|PM offers an ICD-10 drill-down tool to our clients that allows you to search for any code to ensure maximum reimbursement. You also can save favorite codes with our procedure macro functionality to easily match procedure codes, modifiers and diagnosis codes. Once the codes are added you can send the claim to the clearing house in real-time (this means quicker payment for you!).

3. Electronic Remittance Advice

We’re all about efficiency! Save time and get paid faster by automatically posting your insurance payments. The payment will come from the insurer to your practice through an electronic funds transfer (EFT). The ERA will provide an explanation of each payment so it’s extremely easy to understand.

4. Reporting

No medical practice is the same, so you’ll want to make sure you can customize all reports to suit your needs. One report isn’t going to cut it. You’ll want to ensure you have a plethora of options, such as aging, revenue, claim tracking, statements, and adjustment reports to name a few. Important functionality such as adding, deleting and modifying data in a report is vital so that you can keep track of your billing. Make sure you’re able to export your reports too.

5. Authorization Log and Track

This is key. You’ll want a system that can both log and track authorizations. RXNT|PM will track the number of visits/units allowed under a current authorization and/or the end date of an authorization, whichever comes first! This ensures that you do not provide patient care beyond the authorized number of visits. It is important to know when a patient approaching their authorized maximum so you can get a jump on obtaining another authorization! Without this functionality, you will be stuck in the days of tracking these manually!

To learn more about RXNT|PM medical billing solution and how it can help your practice, call us at 800-943-7968 option 3, email us at [email protected], or click “Request a Demo” below.

Learn More

Sign up for our monthly newsletter and get news, trends, tech updates, and more delivered to your inbox!

Featured Resources
AI RPA Machine Learning Blog

What’s the Future of AI in Health Tech? Challenges, Opportunities, and What Comes Next

Patients Using AI Blog Option2

The Differences Between AI, RPA, LLMs, & Machine Learning in Healthcare Technology

HLA Recap Blog V2

Recapping our Time at HLA MD’s 2024 Annual Conference

Ready to improve your practice?

See why our integrated, award-winning healthcare software is the right fit for your medical practice! Since 1999, we've developed certified, cloud-based Electronic Health Records (EHR) with Patient Portal, E-Prescribing (eRx), and Practice Management with Medical Billing and Scheduling.

Scroll to Top