Practical Advantages of EMR Software

EMR (Electronic Medical Records) is an application that delivers great practical advantages when it comes to managing your medical practice.

On the first place is the issue of eliminating paper. An EMR system will do that, thus it will save a lot of space that otherwise would have been covered with files, invoices, receipts and many other things. Also, it will require a much smaller amount of tie and fewer personnel will be needed. Not to mention that computerized charts are a true blessing, there will be no more problems with illegible writing and lost documents, everything will be instantly stored by the system.

In addition to this, you are also able to restructure all the accounts and organize them in a much more efficient, time-saving form. Not only one has happened to lose money due to a simple staff error or through bad managing of the daily charges. Well. This is not the case anymore. Now the missing charges and the claims will be reduced at a minimum level, therefore your revenues will raise.

More over, an EMR system can increase the safety of the patients. Nothing is more important than that and how human errors are inevitable, even in medicine you will make great use of a system that enables you to prevent them. 

The Uses of Claim Form UB 04

There are various claim reimbursement forms; however, each claim form can be used for some specific purpose only including claim form UB 04. The UB04 claim form is used by facilities rather than physicians for their health insurance billing.  Hospitals, rehabilitation centers, ambulatory surgery centers, clinics, etc need to bill their services on the UB04 form in order to get paid.  There are certain exceptions as for example a person might have to admit their family member into a drug and alcohol rehab facility and then find that the facility doesn't participate with their insurance plan.  These facilities often don't file UB04 forms and can not help the family get reimbursed by the insurance company.

Many times the family might have paid upfront for the services of the facility and are may be trying to get the insurance company to reimburse them.  The insurance policy may pay out of network but the claim must be filed correctly on a UB04 form.  The UBO4 requires a few fields which are totally different than fields required on the CMS form. Some of these fields include Rev Codes, type of bill, condition codes, and value codes which can make it terribly confusing to the biller only familiar with CMS forms. In order to get UB04 claims paid, the biller must learn what these fields are and how to complete them correctly for their situation. Many of the other fields on the UBO4 form are similar to the CMS form but these few different ones must be completed correctly.

It is not unusual for many of the clinics and facilities to be out of network with most insurance carriers and therefore not billing on the UB04 forms as they are not billing the insurance carriers, they are collecting the payment from the patients. But some of these patients are finding out that they have out of network benefits which mean the insurance carrier would reimburse them for all or part of the expenses. The patients are then responsible for billing the insurance carriers. The insurance carriers may then demand that the claims be submitted on UB04 forms.

No matter who is submitting the facility claims, the claim form UB 04 must be completed correctly for the insurance carriers to reimburse the payment.

Medical IT Solutions – Multiple Advantages

 

The huge advantages of information technology are known to the world. This is the reason IT has found its deep root practically into each and every industry, however, as far as the healthcare industry is concerned till date the penetration is not as encouraging as it should be. The core reason being this situation is the belief among the healthcare professionals that technology has nothing to do with the healthcare industry. However, the scenario is changing, the healthcare industry has realized the importance of medical IT. The industry has understood that technology can not take care of primary functions like diagnosis and treatment but for sure medical IT to a great extent can aide in the overall process of diagnosis and treatment.

Medical IT solutions like claims processing systems, practice management, billing management, electronic medical records (EMR), electronic health records (EHR) and more have been introduced to the healthcare industry. These solutions are helping physicians and hospitals to streamline their overall processes, thus making their life easier. A lot of time is saved with the help of the system as readily available forms can be used and also redundancy can be avoided. An EMR system helps to store patient information in detail, thus making diagnosis much easier. A no. of reports and charts can be prepared with the help of EMR that can be of great help in the overall process of treatment.

Medical IT solutions are not only helpful to doctors and hospitals but to the patients as well. Truly speaking, the ultimate benefit of using the technology goes to the patients by way of added productivity, better quality of patient care, costs and overall satisfaction. The healthcare I.T reforms in the US have brought hope in improving healthcare service delivery and hence ensuring the safety and security of a patient. The latest medical legislation passed by the US government has come in handy in making the country's healthcare system a lot better by making the best use of medical IT solutions.

It wouldn't be wrong to say that the specialized field of medical it solutions is all set to transform the healthcare industry and has become a must have!