Medical Billing Guide

In our last installment of medical billing, we looked at what was involved as far as the software company hiring a programmer to create their software that will eventually be sold to the public. But programmers aren’t enough because the software needs to be tested. The truth is, programmers make lousy testers because they are biased. That’s why the software company needs to hire QA testers to make sure the software works as it should. So what should a medical billing company look for when hiring a QA tester? What follows is a list of a few things that you’re going to want.

If medical billing software companies let the inmates run the asylum, nothing would get done. Total chaos would be the least of your problems. So in order for a medical billing software company to run properly, you need a few department heads to keep the inmates in line. What follows is a review of the key people you will need, why and what they must be able to do.

One of the most heated arguments in the medical billing world, at least when it comes to the software company, is ROI or return on investment. This is something that is very difficult to calculate as far as what you want your ROI to be and everybody has their own theory and opinion on the subject. If you’re a software company just starting out, or better yet, thinking of starting a medical billing software company, there are some basic things you need to consider when figuring out what you want your ROI to be. What follows is a list of the most basic of these items. For starters, you have to figure out what your cost of production is going to be before you even hire any programmers to create this software. This basically involves the cost of the lease on the building you’ll be using as well as any other fixed costs such as utilities, insurance, etc. Add all this up and put the estimated total in one column.

The medical billing software company is a tough environment for everyone. However, it is probably the hardest on a support person for a variety of reasons. So when you’re putting your company together, what do you look for in a support person? What qualities should they have? What training should they have? What kind of temperament should they have? Yes, this is very important and will be explained, as will everything else that you’re going to want to look for in a support person.

Everybody hears about how the medical billing industry is robbing us blind. Medical costs are out of control, or at least so they say. Medical billing software, just to be able to run your medical billing practice, costs an arm and a leg. Medical billing agencies like Medicare and Medicaid, Blue Cross, Blue Shield and even private insurance companies are ripping us off left and right. Nobody wants to pay claims, or at least that’s the perception. But what’s the reality? Does anybody who is doing the complaining really know? Medical billing statistics are posted all over the place, especially with the Internet being so filled with information. But does anybody really take the time to look up the stats to see how bad things really are?

If you’re really into medical billing you know the importance of doing a HCPCS update. You also know the headaches that doing these can give you. In this particular installment, we’re going to look at some basic things about HCPCS, including, for the uninformed out there, what they are, how the updates are done and what problems you are likely to encounter when doing yours.

In this installment of medical billing and your DME software, we’re going to take a look at customized reports. This is an area that most billing companies have a lot of problems with because it involves a little bit of programming and creativity. Hopefully, this review will give you a few tips on how to get the most out of your customized reports.

In our last installment of medical billing, we talked about the importance of being able to generate reports. In this article, we’re going to give you a basic introductory course in using most DME report generator programs. There are some things that are basic to each even if the interface is a little different between them.

One of the keys of the DME report generator is the link fields. In order to understand how these work, you first need to understand how the architecture of the DME system is put together.

Previously, we talked about how most DME medical billing software programs have report generation capabilities and discussed the basics of how data is pulled in these programs. In this installment we’re going to discuss some advanced medical billing report concepts. If you think you won’t use some of this, you haven’t been in the business long enough.

As outsiders, we seem to think that the medical billing world is a nice neat little package. The truth is, the world of medical billing is anything but neat. Sometimes, many pieces have to be brought together before a bill can even be sent, depending on what you have done. Some procedures are simple. Then there are those that can turn into total nightmares. What follows is a true story to show you how complicated this can get.