Provider Billing Reporting

As the technology coordinator of Parkview Health in Northern Indiana I saw all kinds of money written off in Pharmacy because medications were not charted. I also saw provider time written off because they forgot to log into a computer in a surgical procedure. It is estimated over $100 Billion (with a B!) is written off by hospitals and provider groups every year. Think about this for a moment. Hospitals getting free labor from Dr's because the provider didn't log their time? I don't know about you but I do not like working for free. In some cases providers are getting paid by facilities for time they didn't spend with patients. Now, while I would like getting paid for doing nothing, I don't like paying people for things they weren't involved with.

We created the Provider-Case platform specifically for provider groups that bill medical facilities, hospitals, and surgical centers directly. Our system is not intended for general practice and hospital patient billing. That being said, when a billing system or process is outdated, the provider group or hospital suffers from the billing mistakes like mismatched procedures, providers not logging into when covering shifts at community hospitals, and forgetting to stay current on coding. At the end of the day its not just the provider who's paycheck is effected, inefficient billing automation effects the overall success of your provider group.

In 2021 we have more automation in healthcare than ever before. Electronic patient charting generates a massive flow of data inside health networks making it easier than ever to automate patient billing. But if you are using outdated billing tools you might be missing out on big money.

What Should Your Provider Billing and

Reporting Systems be doing for you?

There are certain features of medical billing software you should consider whether you’re opening a new medical office and need a software that can be used efficiently out of the box, or you’re an established medical practice looking to scale your current operations. Below is a list of features common in medical billing software programs that will help your practice through its growth phase and into maturation:

Workflow Automation

First and foremost your medical billing software should be pulling XML or HL7 data from Electronic Medical Record patient charting systems (EMR) and building out a digital picture of a providers day. EMR generally knows every member of the care team and the phases of care. Billing automation can estimate 90% of your provider billing for you.

Turnaround Time

The speed and efficiency in which provider groups can bill facilities plays a big factor in the business's ability to thrive. The more efficient and automated the process the quicker your provider group gets paid, increases your cash flow.

Data Analysis Tools

Even if you're profitable, there are probably cashflow kinks and untouched revenue streams that you’re unintentionally missing. Workflows like being able to identify split cases, and shift rate vs hourly are key. Additionally reports like total hours by provider, facility shift deployment, etc. help you see gaps in deployment coverage as well as where cases are not being billed correctly.

Built-In Security

Automated medical billing platforms provide patient information security that is HIPAA compliant, limiting data to only what is required at various levels to minimize risks of data breech.

Cost/Time Reduction

Gone are the days of having an office full of billing staff pouring through stacks of patient cases and keeping messy spreadsheets. Your automated medical billing system should do all the heavy lifting, allowing for minimal staff headcount and effort to handle billing.

Now that you have a better idea of what your medical billing system should be doing for you, are you living in 2021 with simply efficient automated billing? Or are you living in 1985 with a stack of billing paperwork? Provider-Case is ready to help you streamline your billing process.