Seven key features to look for in an EHR billing module

When analyzing the billing module of your existing EHR system or a system that you are looking to purchase, there are several key features that you should look for. These features will help to streamline your billing and claims processing, resulting in faster payment and increased revenue.

1. Electronic submission

It should go without saying, but EHR billing modules should be able to submit all billing processes electronically. The billing module should be able to submit claims to various health insurance payer sources. Additionally, for patients who use cash payment, the system should be able to electronically generate an itemized bill for services rendered.

Find the features you want in your next software purchase with this guide to 40 key EHR features

2. Report management

The billing module should have the ability to run a report of billing submissions and payments. This report should have the ability to analyze payments based on insurance carriers, individualized patients, and individual providers. Additionally, the report should be able to monitor payments billed and received based on calendar months and analyze for trends. The report management feature may be one of the most useful features in your EHR billing module, providing an opportunity for the practice to analyze trends i and understand what percentage they are being reimbursed.

3. Claims rejection analysis

The billing module should be able to run a report of rejected claims. It should identify reasons for rejection (such as incorrect patient information, incomplete clinical information, wrong insurance information, or non-covered services). This information is vital. The practice can then correct for errors and resubmit for payment.

4. Copayment built into scheduling

Many insurance carriers are required to pay a copayment at the time of treatment. When a patient pays their copayment at the visit, the practice is much more likely to receive this portion of reimbursement, as compared to when it is billed out. Therefore, if the receptionist is alerted to collect a copayment, then this revenue will be less likely to be missed.

5. Automated billing code transcription

Many billing errors are a result of human errors like transcribing diagnosis and billing codes from the visit encounter. If the diagnosis codes, demographic information and billing codes are automatically carried over into the billing documentation, then the risk of human error is greatly reduced.

6. Electronic eligibility verification

Practices spend a huge amount of time and personnel resources to verifying eligibility of services. If your billing module offers a way to streamline this process, with online eligibility verification, the practice may find a great savings to costs of payroll and increased revenue by prequalifying patients before services are rendered.

7. Electronic payment tracking

The system should offer a means of monitoring the status of payment. Good EHR billing modules will show when a bill has been submitted, then show when it has been accepted, when it is being processed and when payment has been sent. This helps the practice by giving an estimation of when services will be reimbursed and helps to manage financial resources.

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Amy Vant

About the author…

Amy Vant is a doctor of physical therapy and clinical director for an outpatient physical therapy clinic in the United States. She has experience utilizing and implementing many forms of medical documentation through various healthcare practice venues. Amy enjoys writing about healthcare administration strategies, including electronic health record systems.

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Amy Vant

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