Things to Consider Before Upgrading Medical Billing Software

August 11th, 2022 - Find-A-Code
Categories:   Practice Management  
0 Votes - Sign in to vote or comment.

Things to consider before upgrading medical billing software

Your practice has utilized the same medical billing software for years. The medical billing staff says it is time for a change. You don't necessarily disagree, but you also don't know where to begin your search for new software. There are so many vendors offering so many products that making sense of it all can be challenging.

First off, know that you can keep using Find-A-Code medical billing look-up no matter what direction you decide to take. You will still find everything from ICT to CPT codes here. Second, do not obsess over features to the extent that you don't take the time to consider how well a new software package will fit your practice.

Here are some things to consider before upgrading:

1. Practice Alignment

You can choose from a number of off-the-shelf billing software packages or select one that is specifically aligned to the type of practice you operate. Off-the-shelf packages are often cheaper because they are more generic in nature. Still, it might be worth investing in a more expensive package that is better aligned with what you do.

2. Local or Cloud Environment

Next, consider whether a new software package is locally hosted or cloud based. Years ago, local software was the only choice. It ran on a central server located in the practice itself. All the computers in the office were connected to that central server. These days, more and more practices are transitioning to cloud environments.

The cloud brings a lot of advantages to medical billing software. Cloud-based platforms tend to offer more useful features because clouds offer power and resources that local networks lack. With cloud-based software, you also get built-in backups and redundancy. Best of all, medical billing located in the cloud is accessible with nearly any device. It is device and OS agnostic.

3. Purchase or Subscription

Assuming you ultimately decide to go with a cloud-based product, you will also have to decide whether to purchase or utilize a subscription. A subscription is essentially software-as-a-service (SaaS). The SaaS model has a number of advantages including lower upfront costs and not having to worry about updates and upgrades. On the other hand, your practice could end up spending more in the long run. When you purchase software, it is a one-time expense until upgrade time rolls around again.

4. Privacy and Security

It goes without saying that any new medical billing software you invest in should protect patient privacy and be up to date with all the latest security procedures and protocols. There is simply no reason to utilize a software platform that isn't both private and secure. Doing so opens your practice to liability.

Software vendors should be able to prove compliance with privacy and security standards. If you come across one that either cannot or will not, walk away. Do not take any chances with patient privacy and practice security.

5. Ease-of-Use

A final thing to consider is ease-of-use. In other words, can your medical billing team jump right in and start using the software right away? If not, how steep is the learning curve? While some amount of learning is always necessary with new software, your billing team shouldn't still be struggling with the software a month into it.

Upgrading medical billing software is part of running a medical facility. Choosing the right software is as important as accurate medical billing codes. So here's one last tip: put as much effort into finding the right software as you do ensuring that your medical billing team knows what it's doing. That kind of effort will pay off in the long run.

###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

Things to Consider Before Upgrading Medical Billing Software
August 11th, 2022 - Find-A-Code
Your practice has utilized the same medical billing software for years. The medical billing staff says it is time for a change. You don't necessarily disagree, but you also don't know where to begin your search for new software. There are so many vendors offering so many products that making sense of it all can be challenging.
Calendar Year 2023 Medicare Advantage and Part C & D Payment Policies
August 9th, 2022 - Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Each year CMS publishes an Advance Notice of the upcoming years Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies and asks for comments related to it. Each of the comments are carefully reviewed and responded to and often are impactful to changes seen between the Advance Notice and final publication referred to as the Rate Announcement. With health equity as a primary focus for 2023, CMS announced some policy changes that may impact your organization.
How CMS Determines Which Telehealth Services are Risk Adjustable
August 9th, 2022 - Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Medicare Advantage Organizations (MAOs) have gone back and forth on whether or not to use data collected from telehealth, virtual Care, and telephone (audio-only) encounters with Medicare beneficiaries for risk adjustment reporting, but the following published documents from CMS cleared that up once and for all by providing an answer to a question specifically related to this question.
OIG Investigates SCAN Health for Risk Adjustment Overpayments With Surprising Results
July 26th, 2022 - Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
We’ve seen a number of OIG risk adjustment data validation (RADV) audits recently where the independent review contractor was simply looking for any codes the payer reported that were not supported by the documentation, in an effort to declare an overpayment was made and monies are due to be repaid. However, it was refreshing to read this RADV audit and discover that the independent review contractor actually identified HCCs the payer failed to report that, while still resulting in an overpayment, was able to reduce the overpayment by giving credit for these additional HCCs. What lessons are you learning from reading these RADV audit reports?
Addressing Trauma and Mass Violence
July 21st, 2022 - Amanda Ballif
After events of mass violence, it’s easy to feel helpless, like there is little we can do. In fact, we can help individuals, families, and communities build resilience and connect with others to cope together. The SAMHSA-funded National Child Traumatic Stress Network has developed a range of resources to help children, families, educators, and communities including the following which you can access via links in this article.
The 'Big 2' HIPAA Rules Medical Billing Companies Must Follow
July 20th, 2022 - Find-A-Code Staff
HIPAA covers nearly every aspect of how medical and personal information is collected, utilized, shared, and stored within the healthcare industry. Title II of the rules is applied directly to medical billing companies and independent coders. The 'Big 2' rules that medical billing companies must adhere to revolve around privacy and security.
The Beginning of the End of COVID-19-Related Emergency Blanket Waivers
July 19th, 2022 - Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
It appears that the end of the 1135 waivers related to the COVID-19 public health emergency (PHE) has begun. According to CMS, the residents of skilled nursing facilities, long-term care facilities, and inpatient hospice centers have struggled due to the effects of some of the 1135 waivers. CMS is focusing primarily on removing the 1135 blanket waivers that pertain to certain aspects of care, training, and maintenance of these facilities to ensure the weakest of our citizens are guaranteed adequate care.



Home About Contact Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2022 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association