Swift reimbursements for services provided to patients are vital for the financial health of a medical practice. Medical claims require painstaking preparation and accurate, timely submission to generate reimbursements quickly. However, rejected and denied claims are frequent and cause delays and loss to your revenues. Your employees need increased time and effort to resubmit and appeal these unpaid claims.
Submitting a high proportion of clean claims that get paid promptly is enormously beneficial for your revenue cycle management. A quality medical billing software makes the process efficient and quick, allowing your clinic's staff to devote more time to patient care. If you're apprehensive about the implementation of medical billing software, here is a comprehensive guide.
Initial Assessment
The PUREDI team will start by reviewing your billing workflow to identify bottlenecks, pain points, and opportunities for improvement. Your goals are also important, and we find solutions to reduce claim denials, improve collections, and enhance the efficiency of routine billing tasks. Our software solutions will enhance your revenue cycle management and simplify billing for your staff.
Software Configuration
PUREDI assesses your individual needs and tailors the software accordingly. Our team will consider payer rules, coding preferences, and fee schedules to implement a customized medical billing software solution that aligns with your existing operations.
Integration with your electronic health record (EHR) is our strong suit. Our software integrates seamlessly with your existing platform, prevents double data entry, and ensures accurate claim submissions.
Staff Training
We go to great lengths to ensure your staff is comfortable using the installed software. Our training for your staff is comprehensive and detailed, ensuring they can confidently perform everyday tasks like claim submission, payment posting, and generating reports.
Your staff will also have access to a resource library comprising ongoing educational materials in the form of guides and videos. Of course, you can also get quick answers to routine questions from our help desk.
Data Migration
Implementation of medical billing software should not cause data loss. PUREDI migrates your existing patient and billing data securely into our system, ensuring minimal disruptions to your clinic's workflow. This complex task requires diligence and expertise for successful completion. Our data migration process includes thorough checks to ensure accuracy, completeness, and continuity.
Go-Live Support
A PUREDI expert will serve as your dedicated on-boarding specialist. They'll guide you through the first few weeks after implementing the medical billing software and introduce your staff to the features and benefits. Your employees will rapidly become adept at using it effectively.
Our support team is also available to answer questions, provide immediate solutions, and troubleshoot any issues as your facility adopts the new system.
Post-Implementation Monitoring
Our support continues after the initial implementation. PUREDI will monitor your claims to ensure they're being processed and submitted accurately and efficiently. Our experts will check in with your staff regularly to address any difficulties. Frequent interaction allows us to fine-tune and optimize your system to best fulfill your practice's needs.
Ongoing Support
Our customer success team will continually be in touch with you after installation. They will inform you about regulatory changes, best practices, and available software updates. PUREDI's system is scalable, growing with you as your practice flourishes. We can also add features and enhance functionality as your needs change.
Implementing medical billing software in a running clinic with preexisting EHR and clinic management software is a complex and rigorous task. Our team assesses the systems already in place and plans software installation, data migration, and training of your personnel. These tasks require two to three weeks, depending on your clinic's workflow.
Considerations When Choosing a Medical Billing Partner
Medical billing software is available from many vendors, and not all are equal. You need a software solution that precisely meets your clinic's requirements and doesn't create problems you never had before. When assessing a software solution, look at these aspects:
- Clean claim and collection rates. A good medical billing software should provide you an adjusted collection rate of at least 95%. The adjusted collected rate, in simple terms, is the ratio of what your clinic actually collected versus what you should have collected for services provided.
- U.S. based support staff. Outsourced support personnel based in other countries often do not have adequate knowledge of U.S. healthcare laws and guidelines. PUREDI support staff is U.S.-based and well-versed in healthcare regulations and our software. Your problems will be solved efficiently, allowing you to continue operations.
- EHR integration. This is vital, and many vendors don't deliver on their promises. Unsuccessful EHR integration leads to disrupted operations and aggravation among your clinicians and support staff. PUREDI transfers all your data accurately and integrates our billing system perfectly with your existing software. We go the extra mile to ensure a smooth transition with minimal disruption to your workflow.
- Clearinghouses. Clearinghouses are the interface between your clinic and the payers, working to speed up the claims process. They help you submit claims in a standardized format and provide payment portals for your patients. However, if your clearinghouse goes offline for any reason, your payments will stop, leading to financial distress. A medical billing partner that uses multiple clearinghouses protects your revenues from outages.
- Cost of services. Medical billing automation is valuable but should not cost a huge part of your revenues. PUREDI offers customizable software with the features you need, allowing you to find a pricing model that's appropriate for your operations. You can start with a subscription model costing as little as $199 per month per provider and add functionality as needed.
Submitting healthcare claims is a demanding task requiring expertise and accuracy. Errors when entering data can delay payments and harm your revenue cycle. A well-implemented medical billing software can automate claim filing, reduce costly errors, and enhance your revenues. Automated billing speeds up claim filing and payments and reduces your staff's burden and burnout.
PUREDI's medical billing software integrates seamlessly with your existing workflow and software. Our cloud-based intelligent software and 24-hour US based support helps your clinic maximize efficiency and profitability without significant disorder during implementation. Schedule a demo with one of our experts to see what PUREDI can do for you.
