Buying Medical Billing Software

While we cannot make any recommendations on which medical billing and office management software to to use we can give you some examples of those we have used, and indicate which ones we liked. I liked Lytec, Web MD's Medical Manager, and ZirMed.

We don't know anything about the rest of medical billing software that's out there, but we know what to look for! (Much!) more tips on selecting Medical Billing Software that works:

* It has to produce AR reports on demand
* Individual insurance reports
* Individual account report
* Monthly payment report
* Monthly overpayment report
* Monthly adjustment report
* Monthly time payment report
* Debt collection report

It's important to ask about clearinghouses!
  • When selecting a clearinghouse, make sure you find out how many insurance companies they send claims to
  • Are you required to use their software, or one of your choice?
  • How much will it cost you per claim to send to the clearinghouse?
  • What reports will you get?
  • Will you get a confirmation of receipt of claims not only by the clearinghouse, but also by the carrier?
  • Will you get a claims adjudication report?
  • If the claims were sent to the clearinghouse and the insurance company says the claim is not on file (NOF), what will the clearinghouse do to rectify this?
  • Do they resend for free, or do you get a refund?
  • Make sure your contract has a no-penalty termination clause and you can terminate for any reason without penalties.


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