Medical Billing Software Plans

  Medical billing software is useful to organize submissions to insurance companies in order to receive fees for medical services provided. It is not required by law, but medical billers are encouraged to become certified by taking a particular exam in order to be better prepared in the process of billing insurance companies. The process of medical billing can take several days to several weeks. The health care provider is contracted with insurance companies to dispense health care and keep medical records up to date for the insurance company.


The patient records include not only a medical treatment summary and plans, but demographic information, home address, phone numbers, policy numbers, social security number and diagnosis. The records define the cause, treatment, diagnosis and prognosis for future treatment of the patient. All the information in the patient records is highly confidential, but necessary for the insurance company to decide if the medical services supplied is appropriate for the patient and the dollar amount billed.


The actual claim to the insurance company is coded by the medical biller, then the claim is transmitted electronically to the insurance company. Automated Recognition Software, also known as OCR software is one of the types of medical billing software used to process the paperwork for a claim. If the medical claim is for an extremely high payment, the insurance company has claims adjusters and medical directors to examine the information and assess the patient diagnosis, treatment options and medical necessity. If the claim is approved, the medical professional will be paid a partial sum of the amount billed. This is always predetermined between the medical office and the insurance company. If the claim is denied, it may be resubmitted with additional information or corrections to again attempt reimbursement from the insurance company. Denied claims may usually be corrected and resubmitted for consideration, then paid. However, a rejected claim will not be processed because of false or incorrect information. These claims must be researched, the errors corrected and the claim submitted again.


The codes that correspond with the medical information can be complicated, using the precise codes corresponding to the diagnosis and information about the claim must be exact in order for the medical provider to be paid. Medical billing software can be used to begin the process of making a claim by verifying the eligibility of the patient for the plan of services. This saves time and confirms the patient is covered by insurance. The insurance company will then acknowledge this information and begin processing the claim.


Several top medical billing software companies have been reviewed by professionals and graded for ease of use, quality and accuracy. One of those companies is MediTouch, furnishing electronic health records ( also known as EHR) offering a touchscreen and web based interface. The system can be configured for personal style and preferences. There is a monthly fee which includes customer support, instruction and prep. Advanced MDEHR Software is another highly praised company for their functional, easily understood medical billing software. The online system is always up to date. Medical providers may realize faster coding and speedier claim support. The monthly fee includes customer support.


eClinicalWorks system has a wide range of integrated templates to correspond with the efficient, usable facets that can recall patient information with one click of a mouse. It is effective for a small practice or can address the needs of a huge practice with mobile support, faxes and more. The system is offered at several pricing options for a specialized medical billing service.


Although medical billing software regulations and design can be complicated and time consuming, each are becoming easier to use as more technological advances are made.

The medical assistant profession is expanding in the US. This profession doesn't have a lot of requirements education-wise. A high school graduate who has completed courses in chemistry, biology, and anatomy will meet the minimal requirements. To rise above competition when looking to get hired, it would be best to go beyond just the minimal requirements by completing a medical assistant program. Many colleges, vocational and technical schools offer this program. Some schools offer a one-year program while others offer two-year programs that lead to an associate degree. In isolated cases, there are states that would require passing a certain exam or program before an assistant can perform more specialized duties such as taking x-rays or giving shots.


Medical assistants are known to be the backbone of all medical practitioners since their role is very demanding. They serve as a bridge between the doctor and the patient, and perform crucial tasks in the clinic.


If you're considering becoming a medical assistant, then some of these questions may come up in your mind: What are the prerequisites? Is there any special training or certification needed? As mentioned earlier, a high school diploma will suffice. Some people get training after they start working at the job, while others take a one or two-year training course in order to acquire a Certificate or Diploma or an Associate's degree before starting work. It all depends on where you're willing to work and how much you want to earn. Larger health institutions typically pay better but many will require you to have a certificate. As in most other professions, those that have specialized training and relevant certificates will get hired sooner and get paid better than those that don't. After completing a training program and passing the required examination, one can become a Certified Medical Assistant (CMA). Passing the CMA will open more doors for opportunities.


What does the work of this type of assistants involve? Sixty percent of these medical workers work in doctor's offices. Others can work in clinics, pharmaceutical and insurance companies, or hospitals. There are two types of medical assistants. One is the Administrative Medical Assistant, and the other is the Clinical Medical Assistant.


An Administrative Medical Assistant takes care of administrative work in the office. In short, they are in charge of clerical functions. Their duty is to answer the phone, check the list of scheduled patients, schedule appointments, manage medical records, and deal with insurance companies. This position may help one to be promoted to office managers, managers of medical records and medical billing, or medical transcriptionists.


A Clinical Medical Assistant has direct contact with the patient, since it is their role to assist patients and lead them to the examination room, take vital signs such as the temperature, blood pressure, and pulse rate, and weigh the patient before the doctor examines the patient. This dynamic job is sometimes confused with that of the nurse since they also wear scrubs and have direct contact with the patient. Medical assistants do not make diagnoses. Neither do they examine or treat the patient. Many of these workers pursue career advancement by becoming a CAN or certified nursing assistant by furthering their education.


It is important for those working in this profession to understand the code of ethics, since they have access to the patient's medical records and other personal information. All information must be kept confidential and the patient's condition may only be discussed with the patient him/herself or other authorized parties.


One question that often comes up is, how much salary does a medical assistant get? The annual salary ranges from $23,000 - $39,000. This will vary depending on the level of training, number of years of experience, and on the employer.


A typical training program for this career will include the following subjects: human anatomy, physiology, phlebotomy, pharmacology, medication administration, first aid and CPR and clinical and diagnostic procedures, record keeping and accounting, keyboarding and computer applications, insurance processing and coding, medical ethics and law, and office practices.


Aside from physically going to school to get training, there are also online training programs available that will offer more flexibility in terms of study schedule. They will also save you time in traveling to and from an institution. Some schools that offer online medical assistant programs are Kaplan University, San Joaquin Valley College, Community Care College, and Bryant and Stratton College. You will want to look them up online to see which will serve your needs the best.


The job outlook for this career is magnificent, especially for those who have undergone relevant specialized training and have acquired a certificate. There is an increasing trend in terms of employment for this profession. There is a soaring demand for qualified medical support staff since the number of clinics is on the increase. Medical assistants who have the flexibility to perform both administrative and clinical tasks are especially in demand.

 When it is time to arrange the financing for an acquisition, it is important to be creative. When seeking money to buy a company, you will notice that a number of community banks, typically big funders of certain acquisitions, are encountering difficulty due to their degraded residential (builders) loan portfolio. Creativity can make the difference between accessing capital or canceling the acquisition, especially now when credit markets are tighter.


Here are some options for financing acquisitions:


1. Owner financing / seller financing - Go to the seller first. Who is better prepared to finance the business than the person or company who owned it? They know the business better than anyone and are most familiar with its risks. In the current environment, you should be able to get 40-70% of the business financing via owner financing. You must convince the seller you are a good risk, just as you would have to convince a bank.


2. Supplier or vendor financing - The target company's suppliers and vendors are a good source of financing. Their business is likely to increase under your new ownership. (i.e., If you do not intend to grow the business, why would you buy it?) Leverage that growth in their business to negotiate for financing from them. If the target company has been a good customer, the supplier is knowledgeable about the business and will understand the inherent risks better than a typical bank. Note that if you are an existing business acquiring another business, you can pursue financing from your suppliers and vendors. The same reasons apply.


3. Mezzanine financing or private equity funding - Mezzanine and private equity funds that serve the small and medium markets raised large sums of money before the market meltdown. They therefore have money to spend and are looking for great opportunities. With fewer people and companies making acquisitions right now even though multiples are very low, now is a great time to obtain mezzanine financing. The target company typically will need revenue of $10 - $20 million and higher and EBITDA of $2 - 3 million and more to be interesting to a mezzanine or private equity fund. Why? These funds have to spend large amounts in a relatively short period of time (5-7 years) so they need larger deals.


4. Bank debt - If the target company has a lot of medium to long-term assets in addition to good cash flow and a strong profit margin, you should have relatively few problems finding bank financing. However, if you want to buy a service company which has a lot of receivables and other short term assets, you may encounter difficulty. Find a bank that has a history of financing the type of company you are buying. Also, talk to the seller's banker. If the seller has a strong banking relationship, the banker will know the business well, increasing the likelihood that that bank will provide financing in order to retain the relationship and the itinerant deposit accounts.


5. Receivables financing - If you find it difficult to obtain bank financing, pursue account receivables financing firms. They can provide term loans and lines of credits against the receivables. Although the interest rate will be higher, these firms are more familiar with receivables financing and thus often more comfortable with lending against receivables.


6. Pre-paid sales - Approach the target's customers and ask them to make a bulk purchase or pre-pay for several months' or a year's worth of products or services in exchange for a strong discount.


These are some acquisition funding options to stimulate your own creative thinking and approach. There are other alternatives, some of which may be unique to your particular business.


When it is time to arrange the financing for an acquisition, it is important to be creative. When seeking money to buy a company, you will notice that a number of community banks, typically big funders of certain acquisitions, are encountering difficulty due to their degraded residential (builders) loan portfolio. Creativity can make the difference between accessing capital or canceling the acquisition, especially now when credit markets are tighter.


Here are some options for financing acquisitions:


1. Owner financing / seller financing - Go to the seller first. Who is better prepared to finance the business than the person or company who owned it? They know the business better than anyone and are most familiar with its risks. In the current environment, you should be able to get 40-70% of the business financing via owner financing. You must convince the seller you are a good risk, just as you would have to convince a bank.


2. Supplier or vendor financing - The target company's suppliers and vendors are a good source of financing. Their business is likely to increase under your new ownership. (i.e., If you do not intend to grow the business, why would you buy it?) Leverage that growth in their business to negotiate for financing from them. If the target company has been a good customer, the supplier is knowledgeable about the business and will understand the inherent risks better than a typical bank. Note that if you are an existing business acquiring another business, you can pursue financing from your suppliers and vendors. The same reasons apply.


3. Mezzanine financing or private equity funding - Mezzanine and private equity funds that serve the small and medium markets raised large sums of money before the market meltdown. They therefore have money to spend and are looking for great opportunities. With fewer people and companies making acquisitions right now even though multiples are very low, now is a great time to obtain mezzanine financing. The target company typically will need revenue of $10 - $20 million and higher and EBITDA of $2 - 3 million and more to be interesting to a mezzanine or private equity fund. Why? These funds have to spend large amounts in a relatively short period of time (5-7 years) so they need larger deals.


4. Bank debt - If the target company has a lot of medium to long-term assets in addition to good cash flow and a strong profit margin, you should have relatively few problems finding bank financing. However, if you want to buy a service company which has a lot of receivables and other short term assets, you may encounter difficulty. Find a bank that has a history of financing the type of company you are buying. Also, talk to the seller's banker. If the seller has a strong banking relationship, the banker will know the business well, increasing the likelihood that that bank will provide financing in order to retain the relationship and the itinerant deposit accounts.


5. Receivables financing - If you find it difficult to obtain bank financing, pursue account receivables financing firms. They can provide term loans and lines of credits against the receivables. Although the interest rate will be higher, these firms are more familiar with receivables financing and thus often more comfortable with lending against receivables.


6. Pre-paid sales - Approach the target's customers and ask them to make a bulk purchase or pre-pay for several months' or a year's worth of products or services in exchange for a strong discount.


These are some acquisition funding options to stimulate your own creative thinking and approach. There are other alternatives, some of which may be unique to your particular business.



Retail Credit is being withheld causing many retailers to try to find a buyer for their retail sales contracts. Higher interest and larger discounts are not enough for the finance companies to purchase the contracts. Credit is not offered, as before, therefore to survive in business, it is necessary to have your own in house finance company. If you don't have one, then you should seriously consider starting one.


It is a self-supporting protection for your business to succeed. Outside finance organizations have raised their requirements so high for that only a few people can now qualify for credit.


Credit Cards have been a source of financing for smaller amounts. That availability may be eliminated with the new laws soon going into effect. The credit card interest and requirements to get a card are higher, and credit limits may be much smaller. Consumers will be looking for retailers with in house financing.


Take the fear out of financing.


The first step in managing your own financing is to select a software program that will successfully support the monitoring and communication functions of a finance company. Financing is the key to business success.


1. Financing is a very profitable business.

2. You can manage your own credit accounts.

3. Double your profit without increasing your sales.

4. Finance is the largest industry in the world.

5. There is almost no cost in generating the business. You have created all the forms and contracts at the time of the sale.

6. You can make the sale and retain Customers Loyalty.

7. Payments will provide daily cash flow www.lotushearthealing.com. As you add to your portfolio the cash flow will also increase.

8. Interest is charged every day of the year.


Businesses are losing their availability of outside financing. There is no better time to start your financing than now.


Your finance division or company is the "Life support system" for your businesses. The criteria for purchasing an account has not changed for the companies who do their own financing, therefore they are doing business as usual. Many of these stores have gained volume because they can finance sales that the others lose. Larger down payments will make the contracts stronger


A customer who has purchased over the years, and are suddenly turned down for financing a new purchase, can destroy the customer's confidence and loyalty.


Start your finance division now and each month as you add more contracts your daily cash flow will become sufficient to support your business. If you re-invest your finance profit it will grow at a much faster rate. At that time your business will be self sustaining and will not depend on others to dictate your success or failure.


Articles have been written on "How to buy a Contract", setting up a Credit Policy, and How to Collect accounts https://www.buymadeeasy.com/. Monitoring and communicating with your customer is very important for finance management. Learn how to analyze your accounts for the best return on your investment.


Remember that investing in your own finance division is the best insurance that your company will succeed in business.


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