In house billing

[FN9]

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Does anyone here use an EHR related billing software, how does it help you practice vs an outside biller, thanks in advance.

 

[Sushirolls]

Yes, Luminello. They subcontracted with ApexEDI as the clearing house. Amazing. Wish I had converted from outside 3rd party biller to do in house so much sooner.

Issues happen. but there are less of them and its one less entity to mess things up. Their rates are great, too.

 

[FN9]

Thanks sushirolls, what role does your assistant (if you have one) have in billing since everything is automated? inputting bill, follow up, verifying eligibility??

 

[Sushirolls]

Front end verification when patients inquire. Confirming the card or electronic version of card is added to chart.

Any recjtions with the clearing house are investigated. Usually, its because a small private business that is doing their own insurance but sub contracted the network of a big insurance company. They sometimes want bills sent to a different Payer ID code. Quick fixes, but usually needs a phone call to sort out.

Or for doing the manual entry to re-submit for the secondary insurance, quick, but takes a few minutes for those handful of patients.

The bulk is doing follow up down stream that everything populated automatically into Luminello from the ERA, and then sends the electronic invoice to the patient. Mostly a quality control. Every once in awhile a rare bill doesn't auto load, or a niche sub flavor of Big Insurance needs the EOBs manually entered, we have like 2 patients for that.

Patient phone calls/inquires to understand the invoices/bills - customer service mostly - is a big part of the assistant tasks.

 

[FN9]

Thanks, sounds doable, we are having a hard time with an outside biller and are seriously considering doing this ourselves given we are just starting to accept new insurances and our EHR (RXNT) has its own billing software.