• Overbilling Software: A Present Solution To A Perennial Problem

    September 26th, 2016 : By sysop

    When you find out that the root cause of your health problems is kidney failure, the most natural way to react is to feel like the world is crashing to ruins all around you and that all hope is lost. However, weeks -and perhaps months- into costly renal treatment, you will eventually experience an epiphany: things weren’t as bad as they seemed. Dialysis treatment, also referred to as nephrology, is fairly expensive. The few who can afford it only manage to scrape through,what more if you’re on health insurance and the figures aren’t adding up. What should be a welcome relief though is that sometimes you are actually paying for a service you didn’t receive, it’s called over-billing. The burning question now is, how does this occur and how best can dialysis billing software nip the problem in the bud?

    Uprooting The Root Causes

    Over-payment more often than not occurs unintentionally without the wrongdoer knowing. It may be that an incorrect data entry may have cause an extra zero to be punched in,it could be the result of system errors with the billing system being used, or, it could be mistakes in service coding,almost anything. I know, it seems like an exercise at clutching at straws, but the fact is there can never be a single cause.

    In any case, the statistics speak for themselves. A Department of Health and Human Services report published in May of 2015 by the Office of Inspector General revealed that a staggering $33.4 million in over-payments was paid out by Medicare (National Health Insurance of America) from January 2010 to September 2012. The same office also made the startling revelation that Medicare Part B made approximately $62.7 million in over-payments to physicians between 2005 and 2009. So this problem has been ongoing for quite some time now and is irrefutable evidence of the need to address the underlying problem, which as previously stated, is multi-faceted. But instead of relying on year on year audit reports, the only solution is dialysis billing software.

    Stop Scraping At The Bottom Of The Barrel

    Billing software was initially designed to take the load off billing personnel who, because they are human, can make mistakes once in a while. So in place of billing personnel you now have a program that:

    1. Captures and tracks clinical data relevant to charging;
    2. Ensures accurate and real-time billing
    3. Makes room for better care as proper charging allows you to spend your money according to your needs, instead of having to be overcharged and end up paying more than usual.
    4. Offers order driven care and chair-side charting
    5. Is automated. This has several advantages. Firstly, you can forget about being overcharged for the services of so-called ‘highly qualified’ billers who may not even exist. Secondly, the possibility of fraud is reduced since the phasing out of extensive paperwork eliminates the chances of forgery.
    6. Is user-friendly. In the past people never used to understand their bill printouts, preferring to argue about unexplained charges and incomprehensible details. However, the software simplifies information for the payer so that it never appears as if something suspicious is going on.

    What should be clear from this exposition is that dialysis billing software isn’t just here to benefit the receiver of renal treatment, but it also serves the service provider as well. Medical practices and clinics can now use EMR’s (electronic medical records) rather than chaotic office files that can easily be misplaced or destroyed. So when it comes to dealing with over-payment claims it is not difficult to prove, and when clients are under-charged, it is fairly easy for them to recover their money.