Are You Running a Modern Billing Department?

The rise of technology has brought on solutions to make nearly every aspect our lives easier – including the way we work. Eyecare practices that accept insurance are poised to benefit greatly from this shift, as technology has brought on a host of solutions that improve the way billing is handled. Those practices that have embraced this technology are running what we refer to as a “Modern Billing Department”.

A Modern Billing Department doesn’t shy away from technology, they embrace it. (And their practices are reaping the benefits.) Here’s what these practices do differently than those relying on outdated solutions:

Four Ways to Modernize Your Revenue

They Enjoy Centralized Claim Filing

Sure, a practice can file claims online without using a clearinghouse. But that means going all over the Internet to multiple sites, with varying interfaces, to get the job done. Modern Billing Departments know that there is a better way, and they are using it. Clearinghouses are the go-to solution for modern practices because they allow them to do all this in one location:

  • Check patient eligibility
  • Submit and track claims
  • Process secondary claims
  • View detailed reporting information
  • Manage Electronic Remittance Advice (ERA)

They Have a Handle On Reporting & Analytics

It’s important to know more than “Paid” or “Rejected” for claims. That’s something that modern practices are aware of, and staying on top of. The way that they are keeping a close eye on their claim uploading is through detailed reporting and analytics that cover every aspect of claims, such as:

  • The number of claims that have been rejected vs. accepted
  • Top payers that are rejecting claims, by amount
  • Timeline of claim submission for tracking
  • Top rejection reasons

They Put Their Practice Management System to Work

Practice management software is like the brain center of a practice. And they are a significant investment. That’s why Modern Billing Departments are putting them to work, especially for claim filing. These practices utilize claim filing practice management compatibility to:

  • Create batch claim files directly within the system
  • Upload the batch claims and submit directly to payers  
  • Reduce redundancies associated with rekeying claims

They Utilize Electronic Remittance Advice (ERA)

Modern Billing Departments don’t have time to fuss with paper EOBs, especially when payers are migrating to electronic payment methods anyway. That’s why Electronic Remittance Advice (ERA) is common among these practices. ERA simplifies the reconciliation and secondary claim filing processes by:

  • Providing remittance information in a searchable, electronic format
  • Making it easy to search remits by payer, amount, date, patient, or provider
  • Giving users the ability to print only the information they need for secondary filing

How do we know that these things are common in Modern Billing Departments? We know because our Revenue Cycle Management team employs all of these modern techniques. Efficiency and productivity through technology is our specialty, and our customers tell us how much it helps them all the time.

Make sure that you’re not relying on outdated processes. See how we integrate with your PM system.
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Originally published in Feb 2012. Updated in May 2023.
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