Medical billing
software can be used to bill medical services to private
insurance carriers and to Federal plans such as Medicare.
Medicare leads all other health care payers in accepting and
processing electronic claims from medical billing software. Medicare receives electronic
claims directly from providers or via independent parties
(billing agencies) acting on their behalf. In 1998, Medicare
received and processed more than 700 million claims. More
than 80 percent of these claims were submitted
electronically using computer software developed for medical
billing. Medicare also received 149 million Part A claims in
1998. Nearly all of which (96-97 percent) were submitted
electronically using medical billing software.
Medical billing and
practice management software increasingly includes
electronic health record features. These functions
meet HIPAA requirements. Health insurance
claims can be submitted electronically, for quicker payment
and less hassles.
Medical billing software helps providers manage financial
information and reduces errors on claims submitted to
Medicare and some 2,800 other insurance companies. Medical
billing software can be a standalone function or integrated
with other aspects of medical practice such as patient
medical records. It can be linked to the laboratory and
other ancillary service areas. It can interface with other
software that will analyze claims for completeness, accuracy
and probability of being edited by Medicare, Blue Cross, or
other health insurance. The use of computers and software in
the field of medicine is growing rapidly. More and more
medical providers are turning to electronic medical records.
Ancillary equipment such as x-ray machines, laboratory
testing equipment and other patient testing equipment and
services will soon be linked electronically to the patient’s
medical record.