Essential Features Of An Effective EHR Billing System
Due to the presence of numerous choices in practice management software, many healthcare providers find it hard to select the best electronic health records system. But beyond the choice of vendor is knowing what functionality an EHR billing system should carry. To sufficiently control the transition process, you should take effort to identify the features that are most crucial to your entity.
Emphasis on Practice Specifications
While some EHR vendors utilize clearing houses, others could be able to tailor reports for your practice with billing functionality integrated into the EHRs. Do not hesitate to ask for what you think is important. Ensure that the software is sufficiently adaptive to capture data that’s relevant to your practice and specialty.
The new billing system also has to be compatible with the existing framework. Although this seems obvious, it doesn’t hurt to verify. Enquire whether the EHR software furnishes billing features that use your current operating systems. Generally, newer PC operating systems tend to be more adaptable to most modern EHR systems.
Ability to Submit and Verify Claims Electronically
Currently, most billing systems already possess this feature. It would therefore be worthwhile checking to see whether your old system could be integrated into the new EHR billing system. Check to ensure that accurate application of charges, discounts for claims and taxes are applied to this feature. The ability to directly verify claims is also essential. Other vital components include generation of claims to insurance providers and other relevant parties.
Extensive Accounting and Billing Reports
Every practice needs the ability to check billing reports, both at-a-glance and exhaustively as well. As such, the ability to manage reports is crucial to any billing features that an EHR system offers. Also vital is the ability to print any report. Don’t forget to examine the ease in which all reports can be queried and accessed.
Not only do payment processes need to be transparent, but there should also be a feature that allows electronic tracking. The latter is what yields transparency for everyone involved. Your EHR billing software should therefore include the ability to log and communicate each action involved in getting claims paid. Any measures taken to improve the processing of claims need to be shared with all providers.
Keep in mind that if more providers make use of the same approach, you’re more likely to receive payments on time. This also includes all claim submissions, denial and the duration spent in accounts receivable. Another vital feature is the ability to post payment from all sources, including adjustments and waivers.
The ability to recover data loss is a vital feature in an effective EHR billing system. Since prevention is the best approach, a mechanism that allows server monitoring, backups and recovery of data should be provided. Additionally, you should have someone tasked with ensuring that the server is always working properly and that backups are performed regularly. You could consult with the software vendor or IT experts for recommendations on appropriate backups. These could be programmed to run during down times or overnight.
Co-payments and Scheduling
You should consider integrating co-payments into your EHR appointment scheduling mechanism. This functionality helps prevent unbillable encounters and facilitates easy collection of payments. This is a vital measure that would help save time and money.
More and more healthcare providers need to invest in adopting EHR software. If you want more functionality in your system, a little groundwork ahead of time will facilitate the smooth transition from paper to electronic records. With the right approach, you’ll benefit from the cost savings and other rewards that come with EHR implementation.