Your reimbursements are one of the most important things in your practice. And, if you're an OD there is a chance that you might be a little out of touch with what is going on in your billing department when it comes to reimbursements.
If your practice isn't already utilizing the full capabilities of a practice management and EHR software, now might be a good time to consider how a system could help improve your billing and claims workflow in order to get you reimbursed quicker. Or, maybe you already have a system in place but you just aren't taking full advantage of everything it can do when it comes to claims management.
The right system will enable your biller to speed up claim submissions, track claims more easily, and manage ERAs. When it comes to getting help from your optometry EHR and practice management software, these are some of the claims management features to look out for.
Boost Your Claims Management with these Optometry EHR Features
With the right software you'll be able to fast-track your claims by uploading them directly from your practice management system. From there, you'll get the benefits of automatic error checking features to ensure that your claims are submitted right the first time. To make things easier for the OD, you should be able to generate and validate codes at the exam level within the EHR so that mistakes can be caught before they even get to the biller.
The ability to track claims online will help your staff stay off the phone waiting on hold to get tracking updates. You'll also be able to see detailed reporting and analytics so that your biller can gain a better understanding of your claim lifecycle as a whole, and determine the best way to increase reimbursements.
ERAs can be sent directly into your system allowing you to interpret remittance information received by your payers. The details of the claim are automatically posted so that the biller can review and make the necessary adjustments to close the claim. On top of that you'll be able to record write offs, file to secondary insurance, and transfer balance of responsibility.
Not every optometry software system out there today comes with all of these robust claims management features, but there are systems out there that do. So if you're in the market for new software, keep your claims and your biller top of mind when evaluating the different claims management features of each system.