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5 Tips to Improve Medical Billing

Health Insurance Companies Process 1 in 5 Claims Wrong

5 Tips to Improve Medical Billing
Guest post by Erin Palmer, US News University Directory

In this challenging economy, families still need medical care but may not have the means to pay for it when the bill comes due. This can prove challenging for medical billing agencies. In such a climate, medical billing services need to increase their effectiveness and efficiency in order to get the best results for their physician and medical facility clients. Consider these tips to improve medical billing practices:

 1. Use technology as an advantage.

Medical billing services that strive for effectiveness and efficiency may find technology advantageous. By utilizing up-to-date software for medical billing, organizations have the opportunity to quickly determine whether claims are likely to be accepted or denied based on the ever-evolving changes in billing rules for insurance plans, Medicare and Medicaid. The highest quality software automatically updates as rules change, helping medical billing professionals determine new trends in denials and work toward increasing the amount they can collect for clients.

2. Develop and utilize a formal service contract.

Running a medical billing business is just that: a business. It is critical to have all parties involved – the medical facility or physician and the medical billing agency – sign a contract that delineates exactly which parties are responsible for each task, how payment will be made and terms for ending the contract. Having a billing contract emphasizes professionalism and helps protect the physicians and medical billing company.

3. Use business intelligence to identify areas for improvement.

Accurate data mining is one of the best ways for medical billing agencies to improve their level of service and collection. With the innovations in medical billing software, unique reports can be run that provide specific information to assist in decision making and implementing improvements. Most of today’s billing software does offer the option to create custom reports. Once reports have been completed, they can assist medical billing management with increasing staff productivity, adjusting staffing requirements, as well as quickly identifying payment errors.

4. Communicate wisely with patients.

Medical billing professionals can assist medical staff by encouraging the posting of all billing information in an obvious location in the patient check in area. By having the terms of payment easily visible for patients, there is no confusion about billing practices of the medical service. This information should include insurance requirements, upfront payments, co-payments and billing procedures.

5. Collect full information.

One of the best ways to help a medical billing agency increase efficiency is to make sure patient information is accurate and complete. Having a patient’s address, full name, birth date, work information and multiple phone numbers is a critical part of the data collection process that will be used both with insurance companies and as part of the collection process, should requests for payment be ignored. Additionally, asking patients for their Social Security number is an excellent practice that can be extremely helpful when cases of non-payment are turned over to a collection agency.


Clearly, there are many ways for a medical billing practice to become more efficient and effective. Acquiring accurate patient information, using a comprehensive contract with physicians and medical services as well as utilizing cutting-edge software are all steps to optimize the organization. Incorporate these steps today to see a medical billing agency grow more profitable. 

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This post was provided by Erin Palmer.
Erin writes about online healthcare training programs and allied health careers for US News University Directory. For more information please visit http://www.usnewsuniversitydirectory.com

is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE

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10 Responses to 5 Tips to Improve Medical Billing

  1. I liked that you had mentioned that even with medical billing that it can be important to have a service contract that keeps both parties responsible. My wife might need to have an operation done in the coming weeks and we’ve been looking into having the operation done outside of the hospital. If we can find somewhere that offers medical billing, I’ll be making sure that we can set up a contract to make sure that me and the company are both responsible.

  2. I like that you mentioned that using the most cutting edge technology can help to increase efficiency. I totally understand how software like that could help to speed the process along. I will definitely keep this in mind for the future, if I am ever in the industry.

  3. Thank you for your post!This tutorial is fabulous! Lots of great info including,Medical billing is a central pillar of any health care practice.Although care is the top priority, your practice is still a medical billing services henderson in business. To make sure you’re actually getting paid for the services you provide, you’ll need a knowledgeable, focused and reliable team overseeing your billing.

  4. As medical billing technologies evolve, it’s important to remember how accurate patient data is very important not only to the billing company, the healthcare provider, but also the patient! We should strive to give the best experience with healthcare services possible!

  5. There are medical companies or agencies that help us in many ways. So thanks for sharing article on improving medical billing. Its really going to help doctors.

  6. With the introduction and emergence of the medical software, most of the manual tasks listed above have been improved as most of the medical programs have automation functions. The medical software eliminates some possible human errors, great for data storage, faster data recovery, and seemingly speeds up a lot of medical billing processes.

  7. Informative article for doctors. Dealing with medical bills is stressfull work…I am quite satisfy with my billing service providers.

  8. Thank you so much for sharing this article, its just what I’ve been looking for! I’ve never dealt with medical billing before. I’m really excited to see where it goes and what I can get from it, thank you so much for sharing! It a good feeling to know there’s help.

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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