Customized Billing Software Must Be HIPPA Compliant

By Marvin Engslov


If you are planning on buying software for your medical billing practice, there are some things that you should become familiar with. For starters, medical billing software must be HIPPA compliant. Before buying any software, this should be the #1 question to ask. Second, you should get software that is specific to your needs. A lot of medical billing software today is not specific enough to the industry. A dental office has different needs than a pediatrician would. It is important to have your billers understanding coding and billing. It takes a lot to get someone interested in learning more about you.

Medical billing in the United States is regulated in the United States by the Health Insurance Portability Act of 1996. It is amazing that we have come so far in billing in just 20 + years. It is now required that medical establishments must send patient billing electronically. There are a lot of laws that most people don't know about medical billing. Before buying any expensive software, please learn the laws around medical billing first. In this way, you can at least see for yourself that it's not as easy as the software companies want you to believe.

For starters, the software that you use must be HIPPA compliant. There are serious fines for those that do not comply with HIPPA. It is a serious offense. Please get to know more about HIPPA before deciding to become a medical biller. Next, it is important to learn what type of medical establishment you plan on working with. If you are billing for a dental office, there is customized software for that. If you plan on working for a chiropractor, it is different as well. Each practice has its own needs and therefore, customized software is often needed.

The truth of the matter is that in 2016, it is near impossible to be a stay at home medical biller. You need to have the same exact guidelines as a professional medical billing company that has an office. If you do still plan on working from home, it is important to read over HIPPA law and talk with professionals in the industry. They will give you good tips. In the end, you will probably have to spend the same amount of money as a professional billing company. Many billing companies require you to have your certification in ICD-10 to work for them. Often, they will allow you to work 1 day a week from home and the rest in the office. Most will not want you to work at home in your pajamas. Wouldn't that be sweet though?

The main objective for any biller is to keep good records and to get as much money for your employer as possible. In today's world, many claims are being rejected by insurance companies because billers are not filling out the paperwork correctly. Many doctors are losing around 30% of their income each year because of it. Physicians today are looking for experienced ICD-10 coders and billers. Once you learn how to be compliant, you begin to learn more.




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