Wednesday, May 15, 2024

What every practice must know about electronic claim in medical billing

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Electronic claim is the new norm in the medical billing industry today. These are claims prepared and submitted electronically. Therefore, you can avoid paperwork and postage trails. Also, electronic claims can save a lot of money for medical practices while at the same time improving the quality of claims and tracking. It is possible to submit electronic claims either through self-service or outsourced models that take care of full service. Here is what your medical practice needs to know about electronic claim in medical billing.

Understand electronic claims
Electronic claim is a medical claim prepared digitally that does not involve any paper or printing. Usually, such claims are prepared on medical software. In majority cases, medical billing software can help prepare and process electronic claims. Once you understand this process and start using it, you may submit your medical claims to the payers electronically instead of sending paper based HCFA forms by mail.

Advantages of electronic claims

Saves time
Preparing and printing paper forms are a cumbersome process. The automated processes of medical billing can help compile claims in a very short time through automation processes that give no room for errors. Fewer claims mean fewer rejections.

Saves resources
Preparing manual claims requires a significant amount of manual work which means a lot of work for your front office staff. In addition, you will have to spend on postage. Electronic claims can be submitted almost instantly. Switching from manual to electronic claims can cut down costs by around 65%.

Claim scrubbing and clearing
Automated claim scrubbers can do an error free job. Since computers and machines are accurate, they can catch errors in claims rapidly and flag them for correction before submitting to the payer. Integrated clearing houses drive the online medical billing process and send the claims directly to where they must go within seconds. Therefore, you can hope to submit your claim to the payer with no delays.

Tracking and reimbursement
Electronic claims make it possible to check the real time status of your claims and keep track of the complete audit trail. The moment electronic claims are approved, the payers can approve them for reimbursements. Therefore any delay in the billing cycle is ruled out.

Outsource medical billing
Contract a qualified and reliable medical billing company to outsource your medical billing process. In this way, you can drive professionalism across your medical billing processes, avoid hassles and maximize earnings.

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