Medical Billing Software

In this era of constant technological evolution, we cannot rely on a paper-based billing system for a paramount sector like the healthcare industry. This is where the use of the best medical billing software becomes highly significant.

What Is Medical Billing Software?

Medical billing system, also known as hospital billing software, is an application that helps in automating the entire healthcare billing process. Hospitals, clinics, or any organization falling under the healthcare industry can use medical billing software to simplify their invoicing & payment related workflows and process insurance claims. Moreover, a medical billing app also generates reports providing accurate insights into the revenue generated by your organization.

How To Select The Best Medical Billing Software?

Have you been trying to look for the best medical billing software but don’t have much time for research? We have done that for you. Here, we have included the list of the best medical billing software, including their features and legit reviews that can help you select the right one that suits your organization’s demands.

Sort By:

List of the Best Medical Billing System

  • iSALUS EHR

    Making Healthcare Personal Again.
    Visit website

    iSalus Healthcare helps providers stay in front of a fluid healthcare environment by being a proactive partner in both practice management and the provision of quality care. Our technology goes much further than simply assisting with everyday tasks. It is a true all-in-one-solution that enables clinicians to manage, monitor and improve their patients from start to finish and beyond. ... read more about iSALUS EHR

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    33% in Medical Billing Software
  • Pabau CRM

    Managing Your Practice Just Got a Whole Lot Easier
    Visit website

    Pabau is a complete practice management application used by hundreds of healthcare practitioners in the UK. Manage schedules, treatment notes, invoices, payments, marketing and lots more. It works great for all sizes form large teams, solo practitioners and anything in between.Busy clinics require hours of maintaining patient records, writing notes and following CQC regulations. Choose a practice ... read more about Pabau CRM

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    5% in Medical Billing Software
  • Meditab IMS

    The All-in-One EHR, Practice Management, and Billing Software
    Visit website

    Streamline your workflow and boost efficiency with IMS, our all-in-one EHR, Practice Management, and Billing solution. Designed by physicians for physicians, our award-winning Intelligent Medical Software caters to over 35+ specialties and practices of any size! Utilize technology that adapts to your practice, not the other way around. Almost every aspect of our software is 100% customizable and t ... read more about Meditab IMS

    Entry Level Price
    $199 Per Month
    Free Trial
    Available
    Category Focus
    7% in Medical Billing Software
  • EMR-Bear

    Electronic Health Records
    Visit website

    EMR-Bear is a cloud-based electronic health record, practice management, medical billing and tele-health portal designed specifically for behavioral healthcare, social services, and non-emergency medical transportation. It is currently in use across the United States to manage and bill for a wide range of services including out-patient therapy, psychiatric services and medication management, subs ... read more about EMR-Bear

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    14% in Medical Billing Software
  • AccuMed

    Medical Practice Management EHR / EMR Software
    Visit website

    AccuMed proven Medical Practice Management System supports these concerns with the newest technology, government compliance and private payer requirements along with the flexibility to accommodate all your practice needs. Our revolutionary EMR / EHR software solutions were designed with your medical practice in mind; providing a user friendly interface, fitting your patient flow from check-in to r ... read more about AccuMed

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    25% in Medical Billing Software
  • Patagonia Health EMR

    Behavioral Health and Mental Health EHR
    Visit website

    Patagonia Health’s ONC-certified Behavioral Health Electronic Health Record (EHR) system allows agencies to organize client records and improve workflows for behavioral health, mental health, substance use disorder, psychosocial rehabilitation and intellectual and developmental disabilities (IDD) services. Additionally, clinical documentation is streamlined by using templates that are customized ... read more about Patagonia Health EMR

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    15% in Medical Billing Software
  • ChiroFusion

    The No1 Cloud-Based Chiropractic Software
    Visit website

    From scheduling and reporting to billing and beyond, ChiroFusion streamlines and simplifies all aspects of your practice. ChiroFusion is the leading cloud-based EHR software for Chiropractors across America. We offer a fully-integrated practice management solution that includes patient scheduling, documentation, billing, and claims management for one low price. ... read more about ChiroFusion

    Entry Level Price
    $119 Per Month
    Free Trial
    N/A
    Category Focus
    33% in Medical Billing Software
  • Practice EHR

    Chiropractic EHR
    Visit website

    Practice EHR is a leading provider of a cost-effective, cloud-based software solution that supports all aspects of running a medical practice. The platform simplifies workflows for effective patient care and financial and operational success. From electronic health records to medical billing and revenue cycle management, Practice EHR provides integrated, specialty-specific solutions to medical pra ... read more about Practice EHR

    Entry Level Price
    $149 Per Month
    Free Trial
    30 Days
    Category Focus
    25% in Medical Billing Software
  • Netsmart

    Delivering Value Based Care Through Technology
    Visit website

    Netsmart designs, builds and delivers electronic health records (EHRs), solutions and services that are powerful, intuitive and easy-to-use. Our platform provides accurate, up-to-date information that is easily accessible to care team members in behavioral health, care at home, senior living and social services. We make the complex simple and personalized so our clients can concentrate on what the ... read more about Netsmart

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    33% in Medical Billing Software
  • CLIN1 Web Portal

    Clinical Software Solutions
    Visit website

    CLIN1 can help you rethink and update your processes. CLIN1 can help your lab adhere to CAP guidelines for SARS-CoV-2. Tracks quantitative & qualitative results in one application. Review Levey-Jennings charts to identify trends and potential shifts in testing performance. Our CLIN1 Suite of healthcare software products encompasses Laboratory, Pharmacy, Radiology, as well as other unique client ne ... read more about CLIN1 Web Portal

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    33% in Medical Billing Software
  • Easy Billing Professional

    Leading-edge medical billing software program.
    Visit website

    Easy Medical Billing Professional has been established since 1994 as a leading-edge medical billing software program. Our billing software is designed for Medical Billing including features specific to the needs of Pathology Labs, Chiropractic, Physical Therapy, Surgical Assistants and Billing Services. Our ongoing mission has been to provide a medical billing program that is easy to learn and com ... read more about Easy Billing Professional

    Entry Level Price
    $2995 One-time
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • Collectly

    Self-Pay Reimagined
    Visit website

    Collectly is a tech-enabled patient billing platform that works as an add-on for your EHR/PM. Collectly accelerates and increases patient cash flow, streamlines both pre- and post-service billing operations, and provides the best patient experience that works for all demographics. Billing companies struggle with the patient statement process for three main reasons: patients don’t pay their paper ... read more about Collectly

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • QuickPractice

    QuickPractice Standard Actually, it’s far from standard!
    Visit website

    QuickPractice is a medical practice management and billing software that provides patient records/charting, patient statements, insurance billing, scheduling, and more. QuickPractice has invested over 20 years in the research and design of practice management software. We update our software regularly by monitoring client needs, changes in computer technology, healthcare regulations and office man ... read more about QuickPractice

    Entry Level Price
    $599 One-time
    Free Trial
    30 Days
    Category Focus
    25% in Medical Billing Software
  • Euclid

    Take your revenue to new heights
    Visit website

    Euclid has been designed and built from the ground-up by operational experts, not by programmers who have never seen the outside of their cubicle walls. Euclid seamlessly integrates into your workflows and requests for changes are often turned around in a matter of days. Every organization that relies on an efficient medical billing process struggles with common challenges. Euclid RCM, designed an ... read more about Euclid

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • HPlusPro

    Cutting-Edge Medical Billing Software & Innovative Practice Management Solutions
    Visit website

    Healthpac’s medical billing software is a flexible, robust solution for large multi-location medical practices and large medical billing companies. Our easy-to-use medical billing software is designed to deliver more revenue to the bottom line by eliminating wasted time. Our customizable medical billing software is available for private practices, medical billing companies, laboratories, and oth ... read more about HPlusPro

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • Medisoft

    Most popular Medical Billing Software on the market
    Visit website

    Designed to support Independent Physicians, Medisoft is a proven practice management solution. Medisoft offers an all-in-one interface combining scheduling and billing functions as well as integrated revenue management capabilities. However, it is so much more than just a scheduling and billing program. With Medisoft EHR, you will have access to both the practice management system and an advanced ... read more about Medisoft

    Entry Level Price
    Contact vendor
    Free Trial
    30 Days
    Category Focus
    100% in Medical Billing Software
  • Casamba Revenue

    Casamba Revenue for billing Medicare Part B and commercial insurance for outpatient treatments.
    Visit website

    Take advantage of Casamba Revenue for billing Medicare Part B and commercial insurance for outpatient treatments. Easily send claims to payors electronically, with automated transmission and report retrieval. Payor payment and adjustment information is posted directly to your claims at the CPT line level. Drill down into financials, view trending data and predict revenue through expected payments. ... read more about Casamba Revenue

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • HARMONY

    Simple and effective solution for the complicated business of patient care.
    Visit website

    Harmony’s mission is to provide physicians and their administrators with the tools necessary to deliver exceptional patient care and receive prompt, accurate compensation. We develop innovative, customized software and services that simplify daily workflow and maximize revenue opportunities for medical practices of all sizes and specialties. You can focus on patient care, while we focus on the t ... read more about HARMONY

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    25% in Medical Billing Software
  • AllegianceMD

    EHR, Practice Management, Billing Solution, Patient Portal and Self Check-In Kiosk.
    Visit website

    User friendly, and very easy to use. Now you can focus more on patient care. AllegianceMD is the only web-based medical billing/practice management/EHR software, using Artificial Intelligence. AllegianceMD expert system goes far beyond where others left off. Allegiance streamlines and manages behind-the-scene practice services, making decisions based on your past actions. Set-up is easy, and the p ... read more about AllegianceMD

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    50% in Medical Billing Software
  • EpicCare

    Give patients the tools to be healthier with MyChart Epics patient portal
    Visit website

    Patients have personal and family health information at their fingertips with MyChart. They can message their doctors, attend e-visits, complete questionnaires, schedule appointments, and be more involved in managing their health. Patients in the hospital can use MyChart Bedside to stay in touch with their care team, review their schedule, access personalized patient education materials, and reque ... read more about EpicCare

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    33% in Medical Billing Software
  • Lightning MD

    Earn More and Do More With an end-to-end solution
    Visit website

    Lightning MD is a web and mobile-based medical billing and practice management platform that will forever change how and where doctors conduct business and deliver service to their patients by dramatically simplifying the billing process for their office staff and medical billing companies. We are accomplishing this with a top-notch user experience that is intuitive and built specifically to doct ... read more about Lightning MD

    Entry Level Price
    $49 Per Year
    Free Trial
    Available
    Category Focus
    100% in Medical Billing Software
  • EDI Autoclaim

    Manage the complexity of Medicaid billing.
    Visit website

    EDI Autoclaim is designed with built-in logic and robust controls to ensure fast and accurate billing, payment and reporting. Providers can submit claims the same day service is delivered and get paid faster, with fewer denied claims. Every claim that gets created is ready to send error-free. EDI Autoclaim system logic and validation results in a 100% reduction in incomplete claims, invalid diagno ... read more about EDI Autoclaim

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • NEXconnex

    Our All-In-One Medical Software Solution for Healthcare Practices
    Visit website

    All-In-One integrated medical management software solution for use in any size medical practice or clinic, group practice, or Autism Centers. Includes scheduling, billing, medical records, E-Prescribing, patient portal, and a fully integrated financial package, as well as reporting that can be tailored to your practice, clinic, or center. Medical records include custom templating specific to your ... read more about NEXconnex

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    33% in Medical Billing Software
  • DentalWriter

    Get Your Ducks In A Row!
    Visit website

    Build the dental practice of your dreams with the leading software for Dental Sleep Medicine, TMD, Oral Surgery, & Medical Billing. DentalWriter integrates with Nierman Medical Billing Services, creating a fully streamlined workflow for medical billing eligible dental services. Establish a proven, repeatable system for the services that need to be documented in the SOAP medical format (sleep apnea ... read more about DentalWriter

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    50% in Medical Billing Software
  • AdvantEdge

    Billing Performance That Matters
    Visit website

    AdvantEdge offers your group practice or hospital comprehensive medical billing and telemedicine billing services. Our entire company is focused on achieving superior results for clients including ClientFirst service and fully transparent operations. Every medical billing service and operation is first measured by its results. At AdvantEdge, we take pride in net collections rates in the mid and up ... read more about AdvantEdge

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • Ebill Cloud

    Practice Management Software Anytime. Anywhere.
    Visit website

    Cortex EDI's Ebill Cloud is a practice management system that can be accessed from any computer, at any location and any time. Our clients use Ebill Cloud PMS for a multitude of purposes, including: •Keeping track of electronic health records (EHR) •Entering insurance charges and patient payments •Automatically posting insurance payments against charges on a patient’s accounts •Autog ... read more about Ebill Cloud

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • OpenPM

    Getting You Paid!
    Visit website

    The all-in-one billing and claims management software designed to get your practice paid fast and efficiently. Accelerate your cash flow and maximize collections with OpenPM. OpenPM offers a fully integrated billing and claims management system that highly automates accounts receivables management while producing extensive reports to help you better manage your organization. OpenPM is the missing ... read more about OpenPM

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    100% in Medical Billing Software
  • MedOffice

    Medical billing software with amazing flexibility
    Visit website

    Modern and versatile medical billing software for healthcare providers, small, medium, large clinics and professional billing companies. MedOffice is feature-rich yet inexpensive and has low cost of ownership. MedOffice is built with solid technology using .NET programming, MS SQL Server 2014 Database Engine, and Crystal Reports. Get the power of MedOffice anytime, anywhere! All of your data is ba ... read more about MedOffice

    Entry Level Price
    $2495 One-time
    Free Trial
    Available
    Category Focus
    100% in Medical Billing Software
  • Quadax

    Maximize Reimbursement
    Visit website

    Quadax is a healthcare revenue cycle technology and services company focused on making the business of healthcare run better. Quadax enables clients to collect more and enhance visibility into their business, allowing them to focus on their role in providing quality healthcare. Enhance the success of your collections strategy by making more informed decisions and quickly resolving issues by levera ... read more about Quadax

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Category Focus
    50% in Medical Billing Software

Buyer’s Guide

Introduction to Buyer’s Guide for Medical Billing Software

The aim of medical billing is to eliminate all the hassles that health care facilities like hospitals, clinics, and dispensaries generally face while settling payments with patients and insurance companies. Though the medical billing system has laid the groundwork for restructuring the health care payment system, the traditional approach was not always accurate and prone to errors like duplicate charges or billing the wrong patient. To overcome the drawbacks of the manual method and find the balance between their administrative work and medical practice, health care professionals required a reliable solution. It is where technology such as medical billing software came to their rescue. 

Medical billing software ensures that the practitioner conducts their regular duties effortlessly, while all the administrative work runs behind the background with their least involvement. Compared to traditional manual billing systems, modern billing solutions require a minimum amount of time for insurance reimbursements. However, selecting the best medical billing software could be as critical as the medical billing process and needs a thorough analysis.  The users can choose either on-premise or online medical billing software.

What Is Medical Billing?

Medical billing is a process that health-care professionals use to create and submit the claim with insurance companies in order to receive payment for their rendered services. Various people involved in medical billing are providers (doctors), insurance companies, medical billers, and coders.   

In case the medical claim gets rejected, the claim is returned to the physician or clinic to rectify the error and resubmit the claim. The medical billing benefits are endless if all the activities are well managed and performed in order. However, there are few challenges in the manual medical billing process that can slow down the billing process or prevent health-care professionals from delivering better patient care.

What Are the Challenges in the Manual Medical Billing Process?

  • Billing errors: Manual medical billing is prone to human errors like entering incorrect patient details, duplicate records, misplacing documents, charging twice for the same treatment, etc.
  • Higher claim denial: The insurance claim process requires a lot of details to correctly pay for the patient’s treatment. In the manual process, it often happens that the biller submits the claim with incorrect information or codes which results in denial of claims.   
  • Slower billing process:  Manual medical billing does not have a centralized system to access or update patients or claim information; fetching accurate information residing in the various departments can consume a lot of time and delay in the billing process.   
  • Provider/Doctors unavailability:  For an error-free medical billing process, it is necessary that there is a communication channel that gives flexibility to communicate, even when the doctor is not at his desk. But with the traditional approach, this is not possible. It can be a big obstacle for the claim processing.
  • Unable to track performances: Since medical billing involves monetary transactions, it is necessary the transparency is maintained while processing bills.  All the processes should be tracked and ensure there is no error in transactions. But despite all precautions, with the manual process, it is difficult to achieve 100% accuracy and gain complete control of the billing process.
  • Patient registration and appointment scheduling:  Scheduling patient information and registering patients manually is a time-consuming process.  Also, the error of duplicate entry or recording wrong information always remains high during the manual medical billing process.

What Is Medical Billing Software?

Medical billing software is a tool used by health-care professionals to automate the medical billing process. The medical billing software has wide applications; the use of the tool could be as simple as generating bills or as complex as processing the medical claim.

Besides basic functions, the majority of medical billing solutions are designed to streamline the medical claim process. It helps doctors to submit claims to insurance companies effectively and receive payment in a timely manner. By processing claims electronically, the provider can optimize their working efficiency, revenue, and patient experience. 

With so many patients having different insurance companies, it becomes difficult for physicians to manage all the claims. On top of that, various diagnosis codes for the different patients can create confusion. The top medical billing software enables physicians to track and retrieve any claim information within a second. Without medical billing software, health care professionals find the medical billing process so complicated and frustrating that some even prefer outsourcing their services to a third-party vendor.

The clinic billing software helps clinics and health care practitioners to implement efficient workflow in their facility. It takes away all the burden of manual tasks and gives free time to focus on patient diagnosis and treatment.

Who Uses Medical Billing Software?

  • Hospitals and clinics
  • Health-care professionals
  • Medical billing service provider
  • Front desk staff and office managers
  • Insurance companies

What Are the Benefits of Medical Billing Software?

  • Securely storing confidential information: Patients' health condition is a personal matter, and the patient may not like disclosing with others, even by error. Medical billing software ensures that a patient's record is stored securely and accessed only by an authorized person.
  • Easy claim processing and tracking: Medical billing software linked with insurance companies can make easy claim processing and tracking.
  • Fast billing and payment: The e-payment trend has influenced most sectors, and the health-care industry is no different. The e-payment takes away all the hassle of carrying hard cash during an emergency and gives the flexibility to pay the medical bills anytime from anywhere.
  • Real-time reporting: The real-time reporting in clinic billing software helps users to get a complete overview of the crucial metrics and identify the ways to improve the patient experience.
  • Easy management of patient records: With medical billing software, it becomes easy to enroll patients and manage their documents.  Not just manage their records, but it can even help to retrieve the patient’s previous prescription and lab reports easily.   
  • Coding diagnosis: Some billing software are configured as per the government rules and policies. In some places, medical billing software is used to transcribe health conditions into codes.  These codes are used by a medical biller to perform charge validation and generate a bill. The bill is then sent to the payer.
  • Minimum billing error: With all the transaction records available in the system, the users can minimize the billing error.
  • Automation: The billing software enables to automate a process like patient's pre-authorization and training of new employees.  Besides that, chatbots can be used to answer the patient's common queries without any human assistance.  
  • Unified workflow: Medical billing software brings everything under one roof, from managing patient records to processing claims for patients. The top medical billing software allows users to maintain uniform records across the entire department and gives easy access to the patient record.
  • Better communication:  The patient and doctors can communicate efficiently through the software.  The doctors can send and receive the message if there is a change in the appointment schedule or medication. It also has an interacting dashboard that displays workflows, priorities, and alerts.
  • Timely reimbursement: Medical billing software can speed up the insurance process and submit the claims in high volume, eventually, which helps the billers to get a timely reimbursement.  Also, with the use of software, the ratio of claim denial could be minimized.
  • Patient satisfaction: The most popular medical billing software can fast-track the patient pre-registration process and gives a clear estimation of the payment part. It facilitates the smooth transition of medical service from start-to-end and gives the patient a sense of satisfaction.
  • Track financial health: The clinic billing software with advanced reporting features can allow health facilities to check financial health.
  • Cloud computing: There are medical billing system software that operates on the cloud and eliminates the need to maintain expensive hardware.  With the online medical billing software, the users can omit all the technical issues generally faced with the on-premise software.   

What Are Some Essential Features One Must Consider in Medical Billing Software?

  • Medical claim processing
  • Billing and collection ( bill generation, batch payments, payment reminders, etc.)
  • Transparent processing of payment
  • View payer list ( Insurance companies) 
  • Automated coding and claim resubmission
  • Patient pre-registration
  • View claim status
  • Store patient information ( patient allergy lists, medication lists, patient portal, etc.)
  • Reporting and analytics
  • User-friendly interface
  • e-payment/ credit card payments
  • Document management
  • Lab integration
  • Appointment scheduling
  • Medical chart reporting
  • Invoice templates
  • Financial management 
  • Workflow management
  • Direct messaging

Tips to Choose the Best Medical Billing Software

  • Transparency: The best medical billing software should be capable of delivering accurate and timely reports. There is a long list of medical billing software, and before choosing the software, the users should verify the transparency level of the tool.
  • Seamless integration: The top medical billing software should easily integrate with the existing infrastructure and work in tandem with other software.
  • Security and compliance: The software should be compliant with local rules and regulations. It should have proper security features to protect the software from hackers and malware.
  • Support for mobile devices: The medical billing software companies with mobile app support have a great value in terms of software usability and comfort.  It gives patients the flexibility to view and access health care facilities from anywhere. They can book an appointment with the doctors or can send lab reports on the fly.
  • Secure messaging system: Some medical billing system software allows the patient to send a message to their physician from the platform itself. Make sure the messaging system follows a secure messaging protocol to send or receive the message.
  • Efficient document management: Medical billing means a lot of documents – patient’s record, invoices, insurance renewal or denial, multiple claim process, lab reports, prescriptions, etc. With so many documents to handle, it is essential that while scanning the medical billing software list, the users also check the document management feature in the software.
  • Online claim submission: The medical billing system software should allow health care organizations or billers to submit the claims electronically.  It facilitates faster payment and responds quickly to any disputed claim amount.
  • Analytics and reports: Reports and analytics is an important feature in top medical billing software to track the performance of the billing cycle. The user can inspect reports on various parameters like denial of claims, revenue generated, patient treatment, etc. The users should filter the list of medical billing software on its efficiency to present and analyze data on various parameters.
  • Automation: Automation is the key to improve performance and reduce operational costs. If the medical billing software has an automation feature, it would be an added advantage.
  • Staff training: The hospitals and clinics can take complete advantage of the medical billing software if the staff have a thorough knowledge of the software functions. It is always recommended to verify with the software vendor whether they provide any sort of software training program and what type of training they provide.

These tips can help users to choose the best medical billing software. Still, in case if users want to fast-track their software selection process, they can always consider some of the most popular medical billing software solutions.

Popular Medical Billing Software Comparison

popular medical billing software comparison

What Are the Best Practices in Medical Billing?

  • Stay vigilant on new updates: To avoid errors during a billing process, the billers need to be vigilant on revised guidelines and new updates on the diagnosis code.
  • Verify patient information: Patient information like age, name, last name, is very critical in claim processing; even a small error in name or mismatch information can lead to claim denial.  It is always advisable to verify the patient information during patient registration.
  • Use best medical billing software: With medical billing software, the health care organization and doctors can not only save time behind performing tedious tasks but also accelerate the reimbursements process.  By choosing the best medical billing software, the health professionals can keep their practice unit efficient and profitable.  The software allows health care professionals to have a clear view of the transaction details. It clearly defines the patient liability (payment part) from the insured sum paid by the insurance companies.
  • Efficient communication: Efficient communication is the key to deliver seamless health services.  The health care organization, insurance companies, and patients should communicate through a common channel to avoid miscommunication and confusion over the payment. There should be clarity on the patient payment part from the insured sum paid by the insurance companies.
  • Promptly handle denied claims:  A rejected claim can be corrected and resubmitted without taking much time, but a denied claim may require a re-appeal before re-submission. It is a good practice to attend the denied claim and resolve the issue as early as possible. The health care organization can use billing software to track the denials.
  • Important metrics to watch: The health organization can keep track of important metrics like collections per visit, net collection rate, gross collection rate, contractual variance, etc. Besides that, the health care institute can keep track of the outstanding amount to determine the effectiveness of the collection procedure.  They can also perform a periodic audit of accounts and check things like time duration between the date of service and date of charge entry. 
  • Educate patients about benefits:  It is a good practice to educate patients about the benefits and notify patients about their financial responsibilities. On a regular basis, clinics and hospitals should conduct informative programs to aware patients about new schemes, discounts, or new regulations to take maximum advantage of health services.

How Secure Is Medical Billing Software?

The medical billing solutions with strong security features are secure to use.

Most of the medical billing software vendors provide the best security feature for their products. They ensure the billing software is compliant to all the data security rules and regulations to protect patient data. The data back-up and recovery plan further strengthen data security. Even the formal communication that takes place between the patient and doctors or doctors and insurance companies are also completely encrypted. Some medical billing software companies also prefer conducting a third-party audit to identify security loopholes. The business owners who don’t have strong IT support and are worried about software security often route towards online medical billing software. 

Future Trends to Watch in Medical Billing Software

  • Virtual Health Care:  Virtual health care allows doctors to diagnose patients virtually from anywhere with the help of technology like video conferencing or via telephone. Virtual health care can be very helpful for patients having a chronic disease and cannot travel a long distance to see the doctor. With the virtual health care system, doctors can expand access to health care programs and increase patient engagement.  The patient can easily share lab reports, images, and prescriptions with the physician. In the coming days, the medical billing software companies can focus more on features like video conferencing and technologies that optimize the virtual care system.
  • AI and Machine Learning: Artificial Intelligence has wide applications in the medical billing software.  There are medical billing software that have already started exploring machine learning and AI efficiency to improve the patient experience.  The AI bot to answer patient’s common queries are some primary applications that healthcare organizations are incorporating in their infrastructure, but the advanced AI algorithm can even perform complex tasks like extracting data from documents, which can be useful for claim processing. Besides that, the AI ability to analyze text and spoken word could help health care professionals in assigning accurate medical codes.
  • Blockchain Wave: The blockchain wave has an enormous effect in almost all industries, including the health care system. The blockchain can be used in myriad ways in medical billing like speeding up insurance claims or securely storing a patient's confidential data or EHR (electronic health record).  Since the blockchain is completely decentralized and conducts transactions based on the previous transaction, there are fewer chances of error. For instance, it can reduce the error like issuing a bill to the patient twice for the same treatment.
  • Cloud integration on a large scale: Cloud technology has already influenced the online world by replacing on-premise servers and reducing maintenance costs.  Cloud technology is inevitable, and medical billing software can use this technology either standalone or in combination with the on-premise infrastructure.  Cloud computing adoption will become imperative as health organizations and governments aim towards affordable health care services.  The users capitalizing their strategy on cutting expenses on infrastructure and storage should always keep an eye on the medical billing software list with cloud capabilities.
  • Voice assistant: Voice assistant is a revolutionary technology that can speed up the search and query process.  The medical billing companies are also optimistic about the voice assistant application to deliver better health care services. One of the leading medical billing software providers has already introduced a voice assistant feature in their tool to recall patients, populate outstanding balance, book appointments, display patient’s progress notes, give access to educational videos, etc.  So far, it is used to perform basic tasks, but the health care providers have immense confidence in voice assistant technology and are expecting to handle some of the complex tasks in medical billing.

What Is the Average Cost of Medical Billing Software?

The medical billing software is multi-purpose software and is designed to handle the complex tasks involved in medical billing.  The medical software packages can charge users either per-provider basis, per practice, or per-user. The medical facility dealing with the large volume of patients often chooses a per-provider plan, whereas clinics with a low volume of patients may choose a per-practice plan.  The average medical billing software cost could be anywhere between $20/month to $500/month or even more. Some medical billing software vendors may charge on a monthly basis, while others may take one-time payment for a lifetime.              

The health care organization, based on their requirements, picks the most popular medical billing software. The medical billing tool like ClinicGate with a starting price of $199/one-time payment offers features like assigning patients per doctor, sending emails to the patient, view daily expenses, edit and delete lab test names, etc.  The medical billing software cost could be attractive even for health care units that are operating on a smaller scale; the software vendor provides a 21-day free trial.  The advanced version of the medical billing software prices can go upto $1245/one-time payment. There are few more medical software packages that can streamline medical billing without spending much includes Lightning MD, CabMD, and Bonafide.

While the health-care professionals that want a dedicated tool to manage their patient’s EMR (Electronic Medical Record) can select a tool like eClinicalWorks that charges $499/month per physician, besides standard features, the medical billing software offers a range of features like e-prescribing, referral management, private cloud hosting, unlimited free webinars, etc. The other medical software packages that offer more or less similar features include NueMD, CollaborateMD, MeditabIMS, and NEXconnex. These are among the most popular medical billing software that are ideal for medium and large healthcare organizations. 

The users who want to customize and create a better version of medical billing software often delve to a free and open-source medical billing software list. Here is the list of the best free and open-source medical billing software to try the software’s exceptional features at minimum or zero price.

Why Refer to GoodFirms' List of Best Medical Billing Software?

GoodFirms is a leading review and rating platform for IT solutions, and it has been listing software solutions for myriads of industries.  The transparent review process helps customers to find the right product for their business and partner the software for better performance. The visitors can filter broad categories of software list to match their domain, budget, and features; on top of that, the rich knowledge resource assists users to explore software from various perspectives and choose the best software from the list.

Conclusion

The health care system being the most sensitive and complex sector requires due diligence in handling the patient’s records; any small error could risk patient lives. An efficient clinic or hospital has to ensure that their diagnosis procedures are well documented, and there is no room for error in terms of delivering better patient care or financial transactions. Smart medical billing software can address all the concerns of health-care professionals and enables them to run their clinics or hospitals efficiently. Do read the list of best medical billing software on GoodFirms to fast-track the health care process and improve the delivery of medical services.

compare software image