By Lisa Kos
There are several important factors that practice managers should
examine when evaluating the medical billing systems on the market
today. While there are many systems available today, they are each
unique with some subtle twists that separate one from another.
Let's take a look at some of the features which are available in medical billing software systems and which may be important to your practice.
Scheduler:
Do you need a scheduler or do you schedule appointments through your EMR?
Is it easy to schedule multiple appointments for patients?
Can you create discrepancy reports to identify patients who had appointments but had no charges processed for those visits?
Real-Time Eligibility:
Are you able to check the validity of each patient's insurance policy without having to leave the software?
Can you create the patient's billing chart with the demographic and policy data returned by the payer? This significantly reduces data entry work load and also reduces errors.
EMR-EHR Integration:
Can the system import patient demographic and charge data directly into the billing software eliminating the need to hand-key this data?
When those charges are imported, are they scrubbed for billing errors in real-time?
Automatic Scrubber:
Is there an automatic built-in Scrubber to audit each service line against billing rules to alert the user of billing errors that will likely result in payer denials?
Are the scrubber rules updated on an ongoing basis as rules change and new rules are introduced so that your Nephrology billing software is always up-to-date?
Electronic Remittance Advices:
The most advanced medical billing systems are able to automatically receive Electronic Remittance Advices into the software. Can the software that you are evaluating do that?
Can the system auto-adjudicate the majority of remittances and automatically forward the remaining balance to the next payer?
Accounts Receivable:
Iridium Suite's Accounts Receivable allows you to perform all AR functions directly through the AR screens without requiring the user to print out paper reports.
The Accounts Receivable area facilitates the following:
Prioritize ARs according to the factors of your choice.
Create priority "buckets" based on your own criteria (aging, payer, days since last touched, dollar amount, etc.).
Assign those AR buckets to system users based upon their strengths.
Access payer websites directly from Iridium Suite to inquire about specific unpaid service lines.
Re-invoice service lines directly from the Accounts Receivables area.
Assign AR responsibility to staff members based upon their expertise.
Work insurance and patient ARs through the same module.
Iridium Suite facilitates note taking for each and every interaction with a payer or patient. Those notes are attached to the service line(s) and are permanently stored in the system for future reference.
Reporting:
Unlike many practice management systems, Iridium Suite's premium reporting is included in the price of the system.
Easy-to-configure templates allow the user to analyze data in virtually every way imaginable.
Users can save "favorite" reports and the system will automatically create them and email them on a scheduled basis to the user and other interested parties.
Todos:
Iridium Suite's "Todo" feature allows users to create tasks for themselves or others.
Tasks appear as pop-up reminders when the intended user logs in to the system on the assigned day of the todo.
The Todo feature facilitates easy and clear communication within the practice or between the practice and the billing service.
Let's take a look at some of the features which are available in medical billing software systems and which may be important to your practice.
Scheduler:
Do you need a scheduler or do you schedule appointments through your EMR?
Is it easy to schedule multiple appointments for patients?
Can you create discrepancy reports to identify patients who had appointments but had no charges processed for those visits?
Real-Time Eligibility:
Are you able to check the validity of each patient's insurance policy without having to leave the software?
Can you create the patient's billing chart with the demographic and policy data returned by the payer? This significantly reduces data entry work load and also reduces errors.
EMR-EHR Integration:
Can the system import patient demographic and charge data directly into the billing software eliminating the need to hand-key this data?
When those charges are imported, are they scrubbed for billing errors in real-time?
Automatic Scrubber:
Is there an automatic built-in Scrubber to audit each service line against billing rules to alert the user of billing errors that will likely result in payer denials?
Are the scrubber rules updated on an ongoing basis as rules change and new rules are introduced so that your Nephrology billing software is always up-to-date?
Electronic Remittance Advices:
The most advanced medical billing systems are able to automatically receive Electronic Remittance Advices into the software. Can the software that you are evaluating do that?
Can the system auto-adjudicate the majority of remittances and automatically forward the remaining balance to the next payer?
Accounts Receivable:
Iridium Suite's Accounts Receivable allows you to perform all AR functions directly through the AR screens without requiring the user to print out paper reports.
The Accounts Receivable area facilitates the following:
Prioritize ARs according to the factors of your choice.
Create priority "buckets" based on your own criteria (aging, payer, days since last touched, dollar amount, etc.).
Assign those AR buckets to system users based upon their strengths.
Access payer websites directly from Iridium Suite to inquire about specific unpaid service lines.
Re-invoice service lines directly from the Accounts Receivables area.
Assign AR responsibility to staff members based upon their expertise.
Work insurance and patient ARs through the same module.
Iridium Suite facilitates note taking for each and every interaction with a payer or patient. Those notes are attached to the service line(s) and are permanently stored in the system for future reference.
Reporting:
Unlike many practice management systems, Iridium Suite's premium reporting is included in the price of the system.
Easy-to-configure templates allow the user to analyze data in virtually every way imaginable.
Users can save "favorite" reports and the system will automatically create them and email them on a scheduled basis to the user and other interested parties.
Todos:
Iridium Suite's "Todo" feature allows users to create tasks for themselves or others.
Tasks appear as pop-up reminders when the intended user logs in to the system on the assigned day of the todo.
The Todo feature facilitates easy and clear communication within the practice or between the practice and the billing service.
Find more information regarding medical billing systems and Nephrology billing software please visit: Iridiumsuite.com Contact sales at 775-453-3193 or sales@iridiumsuite.com.
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