SoftGuide > Functions / Modules Designation > Medical billing

Medical billing

What is meant by Medical billing?

Medical billing refers to the process of billing for medical services provided by healthcare providers such as doctors, hospitals, and clinics. This process involves the capture, transmission, and management of billing information to obtain payments from patients and insurance carriers.

Typical functions of software in the field of medical billing:

  1. Patient Data Management:

    • Capture and management of patient data, including personal information, insurance details, and treatment history.
    • Ensuring the accuracy and completeness of patient data.

  2. Service Documentation:

    • Documentation and coding of provided medical services and treatments.
    • Use of standardized medical codes such as ICD, CPT, and DRG for billing.

  3. Invoice Generation and Management:

    • Creation and management of invoices for patients and insurance companies.
    • Automation of the invoicing process to reduce manual errors.

  4. Insurance Billing:

    • Submission of billing claims to insurance carriers for reimbursement.
    • Management of insurance claims and tracking of reimbursement status.

  5. Payment Processing:

    • Handling of payments and matching incoming payments with outstanding invoices.
    • Management of payment plans and dunning for unpaid invoices.

  6. Reporting and Analytics:

    • Generation of reports on billing activities, revenues, and outstanding receivables.
    • Analysis of billing data to identify trends and optimization opportunities.

  7. Compliance and Audit:

    • Ensuring compliance with legal regulations and guidelines in medical billing.
    • Management of audit trails and documentation to support audits.

The function / module Medical billing belongs to:

Healthcare and medicine

anamnesis
Attendance management
Auxiliary means management
Bed management
Care management
Care planning
Case Allocation
Case Creation
Case History
Case management
Case Tracking
Clinic Information System
Data transmission according to § 301
Electronic patient record
Food Management
Health insurance management
HIPAA Compliant
Imaging and radiography
Journal function
Laboratory instruments
Laboratory management
Limit value management
Medical billing
Medical transport management
Medication management
Medication management
Method management
Nutrition management
Occupancy plan
Outpatient management
Patient management
Patient records
Physician management
Point-of-care testing
Practice management
Prescription management
Recall management
Resident survey
Sample management
Sick leave tracking
SOAP notes
Sterile goods management
Test panels
Therapy planning
Transfer function
Treatment history
Treatment planning
Vaccination management
Waiting room
Ward management
Wound documentation

Software solutions with function or module Medical billing:

MService
Maintenance Management, CMMS
Analogon
Physical Therapy, Alternative Medicine