11.11.2022 11:30

Medical Billing Coding Software – The Most Frequent Questions Answered By MWDN Experts

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According to one labor market survey, the demand for medical billing and medical coding officers will continue to grow in the USA for at least up to 2024. Partially, this trend can be explained by the fact that most American healthcare facilities have their own EHR (electronic health record) and EMR (electronic medical records) medical billing software. In other words, out-of-the-box solutions offered by medical software developers are not always and are not fully suitable for numerous US medical institutions.

Each hospital or insurance company decides for itself whether it should do the billing and coding manually, buy third-party software, or create medical billing coding software of its own.

The last option is often preferred, as by creating software of your own you can rest assured that:

  • New software will integrate perfectly into your EHR.
  • New software will guarantee maximum security of patients’ sensitive data.
  • New software will be convenient for use by your clinic employees.

However, when you decide that you need customized medical software, many questions start to arise. Today they are being answered by experts from MWDN, a Ukrainian IT company with vast experience in developing medical software.

What Is Medical Billing Coding Software?

Medical billing and coding programs are professional software that helps hospitals and insurance companies work on the next tasks:

  • Translate into medical language the names of diseases (using ICD codes), operations performed on the patient (using CPT codes), and other non-invasive manipulations with the patient (using HCPCS codes);
  • Invoice the patient’s treatment to their insurance company;
  • Receive payment from the insurance company for the treatment.

Most often, coding and billing are handled by different people and different software, however, because they are closely bound, today it is increasingly common to find integrated complex systems that handle both coding and billing at the same time.

Why Should A Hospital Create Its Own Software When There Are So Many Ready-Made Solutions?

Of course, today you can find a lot of top 10 medical billing software options, but such programs are not necessarily easily integrated into the EHR and EMR systems adopted in your medical institution.

In addition, according to Healthline, due to insufficient quality of the software, its insufficient convenience, or due to human error, 80% of hospital bills are issued with errors, which can later lead to thousands of US dollars in losses by both hospitals and insurance companies.

There is only one way to avoid these pitfalls – to create automated medical software that will minimize the participation of people in coding and billing processes and will ideally meet the needs of your particular clinic.

What Should You Choose – Web-Based Or Cloud-Based Medical Billing Software?

Today, more and more companies in various fields are moving to the cloud.

There is a simple explanation for this:

  • Cloud storage ensures greater safety and security of data, which is especially important when we talk about sensitive patient data.
  • Cloud storage provides easier access to data of all involved clinic staff, while significantly reducing the likelihood that data will be mixed up or lost.
  • When necessary, cloud storage allows you to easily transfer information about a specific procedure or a specific client to another medical institution.

What Should You Pay Special Attention To When Choosing Healthcare Billing Software Vendors?

There may be several answers here. If you choose software made by a third party not for the specific needs of your clinic, but for a wide range of customers – make sure that the new software will not fail when integrated into your electronic medical records system.

If you are looking for a development company that will help you with the creation of customized software for your clinic, first of all, pay attention to the previous experience of the company. Give preference to a contractor who previously created software for large clients in the medical field. In this case, you can be sure that your new team is professional and understands how important coding and billing are to both your clinic’s finances and your patients’ lives.

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