Next generation software systems provide tools for handling complexity of billing codes.
Medical practice staff members, intent on assuring accurate and prompt reimbursement by an increasing number of payers for services rendered to the practice's patients, face what often feels like an insurmountable challenge. Ever-changing and differing reimbursement rules create a frustrating environment in which it is difficult, if not impossible, to comply with payers' requirements. This article provides an overview of a new generation of automated systems that offers physicians the ability to submit bills that more precisely comply with payers' expectations. It describes how claims editing software systems work and capabilities staff should consider before choosing a system.
McGahey
J P
JP
ADP Context, Inc., Burr Ridge, IL 60521, USA. jpm@adpcontext.com
D017598:Efficiency, Organizational; D001330:Electronic Data Processing; D005375:Financial Audit; D007344:Insurance Claim Reporting; D010350:Patient Credit and Collection / Q000379:methods*; D012984:Software