The State of the Medical Billing Industry in 2024

The State of the Medical Billing Industry in 2024

The medical billing industry is constantly evolving, and 2024 has been no exception. While the core function remains the same – ensuring accurate and timely reimbursement for healthcare services –  the challenges faced by medical practices have become more complex: New regulations, ever-changing coding systems, and the ever-rising pressure to improve efficiency.

Midway through 2024, it’s clear that innovative technologies like AI are making inroads into medical billing, offering solutions to streamline processes and improve accuracy. But how do you know what matters, and what doesn’t? 

  • Evolving Regulations and Coding Systems: The medical billing landscape is constantly shifting with updates to coding systems like Current Procedural Terminology (CPT) codes. Keeping pace with these changes is crucial to avoid denials and delays in reimbursements.
  • A Growing Focus on Automation: Repetitive tasks like claim scrubbing and eligibility verification are prime candidates for automation. Utilizing technology to automate these processes frees up valuable staff time for more complex tasks and patient interaction.
  • Data Security Concerns: As the healthcare industry embraces digital solutions, data security is more prominent than ever. Protecting sensitive patient information requires robust security measures within medical billing software.
  • Shifting Patient Demographics: The healthcare landscape is changing with an aging population and a growing number of patients with chronic conditions. Businesses must adopt billing practices to handle a wider range of services and insurance plans.

Optimization Opportunities in 2024

So how can medical practice owners respond to these challenges and thrive in the 2024 medical billing landscape? Here are some key strategies:

  • Embrace Change: Invest in modern medical billing software equipped with automation and ai-powered features to enhance your efficiency and reduce the risk of manual stopgaps.
  • Stay Current with Regulations: Implement monitoring processes to ensure your staff remains up-to-date on the latest coding changes and regulatory updates.
  • Prioritize Data Security: Choose medical billing software with robust security features like encryption and access controls.
  • Focus on the Patient Experience: Offer patients convenient online bill payment options and clear communication regarding charges and insurance coverage.

Why Choosing the Right Software Matters

Selecting the right medical billing software is more critical than ever in 2024.  The software you choose should not only handle basic billing tasks efficiently but also provide features that address the evolving needs of the industry.

Key Features of Modern Medical Billing Software in 2024

  • Automation, Automation, Automation: Look for software that utilizes AI or other modern tooling to automate repetitive tasks like claim scrubbing and eligibility verification. This frees up staff time for higher-value activities.
  • Seamless Integration: Ensure the software integrates seamlessly with your Electronic Health Records (EHR) system to eliminate data entry errors and expedite claim submissions.
  • Advanced Reporting: The software should offer robust reporting tools that provide valuable insights into billing performance, allowing you to identify areas for improvement and optimize revenue cycles.
  • Data Security: Choose software with modern security features like multi-factor authentication and encryption to safeguard sensitive patient information.
  • Patient Engagement Tools: Your software should offer features that enhance patient communication, such as online bill payment options and self-service portals for patients to access their billing information.

EZClaim offers a comprehensive solution for medical practices seeking to optimize their billing processes. Our software boasts all the essential features mentioned above, so you can:

  • Boost Speed & Reduce Denials: EZClaim uses AI and other tools to automate tedious tasks like claim scrubbing, ensuring faster claim submissions and fewer rejections. Get paid faster with fewer headaches. EZClaim
  • Ditch Double Data Entry: Effortlessly integrate EZClaim with your existing EHR system. Eliminate duplicate data entry and free up your staff for what matters most – patient care.
  • Uncover Revenue Opportunities: Gain actionable insights with EZClaim’s advanced reporting. Identify trends, optimize your revenue cycle, and boost your bottom line.
  • Unmatched Data Security: Rest assured knowing patient information is protected with EZClaim’s industry-leading encryption and access controls. Focus on your practice, not data breaches.
  • Empower Your Patients: Offer patients the convenience of online bill payments and a self-service portal with EZClaim. Improve patient satisfaction and streamline collections.

Ready to Streamline Your Medical Billing in 2024? Don’t let the complexities of medical billing hold your practice back. Schedule a free demo of EZClaim today and see how our innovative software can help you optimize your billing processes, improve efficiency, and ensure timely reimbursements.

5 Patient Collections Tips That Fuel Growth For Your Practice

5 Patient Collections Tips That Fuel Growth For Your Practice

Managing patient collections effectively is crucial for the financial health of any medical practice. Efficient patient collection processes not only improve cash flow but also enhance patient satisfaction and overall operational efficiency. Here are five patient collections tips that can help fuel growth for your practice:

1. Implement Clear Payment Policies

Arguably one of the most important patient collections tips is to establish clear and comprehensive payment policies. Patients should be informed about their payment responsibilities from the very beginning. This includes providing detailed information on co-pays, deductibles, and payment deadlines. Clear policies help set expectations and reduce confusion, making it easier for patients to comply with payment requirements.

Make sure these policies are communicated through multiple channels, such as appointment confirmation emails, patient portals, and in-office signage. By being upfront about payment expectations, you can minimize disputes and ensure smoother collection processes.

2. Offer Multiple Payment Options

Flexibility in payment methods can significantly enhance patient collections. Providing a variety of payment options, such as credit/debit cards, online payments, and mobile payment solutions, caters to the diverse preferences of your patient base. This convenience encourages timely payments and reduces the likelihood of overdue accounts.

Consider integrating an online payment portal where patients can easily settle their bills from the comfort of their homes. Additionally, offering payment plans for larger balances can make it more manageable for patients to meet their financial obligations without straining their budgets.

3. Leverage Technology for Efficient Billing

Utilizing advanced billing software can streamline your patient collections process and reduce administrative burdens. Modern billing systems, like those offered by EZClaim, provide features such as automated invoicing, real-time eligibility checks, and electronic remittance advice (ERA) auto-posting. These tools ensure accuracy and speed in the billing process, reducing errors and enhancing collections efficiency.

Automated reminders for outstanding payments can also be set up through these systems. Email and SMS notifications can encourage patients to pay their bills promptly, reducing the number of overdue accounts and improving cash flow.

EZClaim integrates with other payment and collection systems like our partner, BillFlash. This allows practices to create a powerful medical billing system that is tailored to their needs. Simplify your vendor management by consolidating all your billing, payment, and collection services into one financial solution.

4. Train Staff on Effective Communication

Effective communication is key to successful patient collections. Train your staff to discuss payment matters with patients in a courteous and empathetic manner. This includes explaining bills, addressing any questions or concerns, and discussing payment plans when necessary.

Staff should be knowledgeable about the payment policies and options available, enabling them to provide accurate information and assistance. By fostering a positive and supportive environment, you can encourage patients to fulfill their payment obligations willingly.

5. Monitor and Analyze Collection Metrics

Last but certainly not least, regularly monitoring and analyzing your collection metrics is essential for continuous improvement. Track key performance indicators (KPIs) such as average days to collect, percentage of accounts receivable over 90 days, and collection rate. This data provides valuable insights into the effectiveness of your collection strategies and highlights areas that need attention.

Utilize this information to refine your patient collections tips and strategies. For instance, if you notice a high number of overdue accounts, it might indicate a need for more frequent payment reminders or an adjustment in your payment plans.

Revamp Your Patient Collections Process with EZClaim

Implementing these patients collection tips can lead to improved financial stability and growth for your practice. By establishing clear payment policies, offering flexible payment options, leveraging technology, training staff in effective communication, and monitoring collection metrics, you can enhance your patient collections process significantly.

These strategies not only ensure timely payments but also contribute to a positive patient experience, fostering loyalty and trust. As a decision-maker at your practice, investing time and resources into optimizing patient collections will pay off in the long run, driving sustainable growth and success.

See how EZClaim can help transform your practice’s patient collections process. Book a free demo today.

Navigating the transition to affordable medical billing services

Navigating the transition to affordable medical billing services

For any healthcare professional, juggling patient care and the intricacies of medical billing services can feel like a constant struggle. Relying on traditional methods – paper forms, manual coding, and chasing down payments –  eats away at valuable time and revenue.

The good news? Transitioning to user-friendly medical billing software can create a smoother, more affordable future for your practice.

The Challenges of Traditional Medical Billing Services

Traditional medical billing services come with a hefty set of challenges:

  • Cost: Outsourcing to medical billing companies can be expensive, often requiring a percentage of collected claims or a fixed monthly fee. These costs can significantly impact your bottom line.
  • Errors and Delays: Manual data entry and coding are prone to human error. Mistakes can lead to claim denials and delayed reimbursements, hindering your cash flow.
  • Limited Control: When you outsource, you relinquish control over a crucial aspect of your practice. Tracking progress, resolving issues, and ensuring accuracy can be difficult.
  • Time Consumption: Chasing down missing information and resolving billing discrepancies takes time away from patient care – time you simply don’t have.

The Benefits of Automating Medical Billing 

Transitioning to medical billing software isn’t just about cost savings, although that’s a significant benefit! Here are some key advantages to consider:

  • Improved Accuracy and Efficiency: Software automates tasks like coding and claim submission, significantly reducing errors and streamlining the billing process. This translates to faster reimbursements and improved cash flow.
  • Enhanced Reporting and Analytics: Generate comprehensive reports on billing performance, coding trends, and outstanding claims to gain valuable insights into your practice’s financial health.
  • Increased Control: Take control of your billing with real-time access to data and the ability to track claim status easily. You can identify and address issues promptly.
  • Reduced Administrative Burden: Free up your staff’s valuable time by eliminating tedious data entry and allowing them to focus on patient care.

Choosing the Right Medical Billing Software

The medical billing software market is crowded, so finding the right solution for your practice requires careful consideration.  Here are some key features to look for:

  • Ease of Use: An intuitive user interface makes it easy for staff with varying levels of technical expertise to navigate the software effectively.
  • Functionality: Choose software that offers the features you need, such as integrated scheduling, automated claim submission, and patient eligibility verification.
  • Compliance: Ensure the software keeps pace with evolving regulations and coding standards.
  • Security: Protecting your patients’ sensitive information is paramount. Look for software with robust security features and data encryption.
  • Scalability: Choose a solution that can grow with your practice, offering features and integrations to meet your evolving needs.
  • Customer Support: Reliable customer support is essential when navigating any technical issues or questions.

EZClaim: Your Affordable Medical Billing Software Solution

No matter your practice type, our medical billing software is designed to empower you to take control of your billing. Here’s what sets us apart:

  • Intuitive Interface: Our user-friendly design allows your staff to get up and running quickly, minimizing disruption to your workflow.
  • Full-Cycle Billing Solution: Manage your entire billing cycle from patient scheduling and eligibility verification to claim submission, tracking, and reporting.
  • Compliance Assured: Stay up-to-date with the latest ICD-10 coding standards and regulatory requirements.
  • HIPAA Compliant: We take patient data security seriously. EZClaim employs powerful encryption to safeguard sensitive information.
  • Scalable and Affordable: Our flexible subscription plans cater to practices of all sizes, making affordable medical billing services a reality.
  • Unparalleled Support: Our dedicated customer support team is always available to answer your questions and guide you through any challenges.

In 2024, it’s paramount that businesses consider the power of automated medical billing to reduce costs and maximize efficiency. Contact us today for a free demo of EZClaim!

TriZetto Partner Blog: Safety First: Managing Enrollments Properly through PECOS

TriZetto Partner Blog: Safety First: Managing Enrollments Properly through PECOS

This content was adapted from an article published by TriZetto Provider Solutions in April 2023.

When it comes to sharing personal information, the rule of thumb is to keep the information, well, personal. Ask your company’s IT manager for their thoughts about making a private password public and you’ll probably receive a worried look in response.

In today’s age where phishing, hacking and other security threats are becoming more commonplace, it’s more important than ever to utilize proper security-related protocols in all aspects of business.

 

The Importance of Compliance

The Centers for Medicare & Medicaid Services (CMS) administers government-sponsored Medicare to Americans 65 years of age and older. Its Provider Enrollment, Chain, and Ownership System – commonly known as PECOS – is the go-to online enrollment management system. PECOS allows registered users to:

  • Enroll as a Medicare provider or supplier
  • Revalidate enrollment
  • Withdraw from the Medicare program
  • Review and update information
  • Report changes to your enrollment record
  • Electronically sign and submit enrollment information

Just as HIPAA is critical to protecting the privacy and security of health information, using proper credentials and security best practices also is a necessity. When it comes to adhering to security best practices, unfortunately, not every company is following protocol.

 

Safe and Secure

As of late, compliance is a common topic of discussion. Is your front office staff using a provider’s login? In an ideal world, every user should have their own assigned login to a PECOS account. This ensures complete compliance. However, that’s easier said than done.

Some practices may not be aware that they are not in compliance. Is your practice – or the third-party service vendor your practice has contracted – following the guidelines? Hopefully so, because the last thing a practice wants to deal with is an audit. If your practice faces an audit, hours of time will be required and stress will quickly accumulate. Not to mention, the possible financial consequences can be dire. While that may be the worst-case scenario, it’s definitely a possibility that needs to be considered.

The rules are being enforced, and you don’t want to be out of compliance with one of the top payers in the country. In this situation, TriZetto Provider Solutions is considered a delegated authority. Our experts have been granted surrogacy, which gives us access. It’s the secure way to do it.

 

A Helping Hand

Perhaps your practice, or the assigned team member, is new to the system. PECOS tends to become confusing quickly, especially to those unfamiliar with the program. Thankfully, there are experts available to help navigate the complexities. We often come across clients that may not have used PECOS in the past, and we can guide them along. Training sessions, step-by-step guides, or just an expert on hand to bounce questions off of, can be extremely valuable when completing applications. With expert users on site with decades of experience under their belts (including former Medicare staff members), we really know the ins and outs of the system.

Additionally, Medicare has moved away from paper applications, as have many payers. The digital way is quicker, but perhaps you have users on staff that are not very technically savvy. News was recently released that PECOS 2.0 is set to debut in July of 2023. Do you feel confident you can navigate the upcoming changes?

Contact our partner, TriZetto Provider Solutions, to learn more about managing your credentialing and enrollments.

BillFlash Partner Blog: The Hidden Costs of Using An Ineffective Payment Processing System

BillFlash Partner Blog: The Hidden Costs of Using An Ineffective Payment Processing System

THE HIDDEN COSTS OF USING AN INEFFECTIVE PAYMENT PROCESSING SYSTEM

 

At any given time, over a billion payments are being processed online, and this includes healthcare services. That’s because patients today want the ease and speed of transactions that traditional methods simply don’t offer. Plus, healthcare practices have extra peace of mind knowing that modern technology gives them security protections to keep their patient’s data safe. This is where a payment processing system comes in.

However, there are hidden costs in ineffective payment processing systems that can put you at risk if you’re not prepared for them. It’s crucial to remain vigilant against these costs associated with ineffective payment processing. Awareness of these costs can save healthcare practices hundreds, or even thousands of dollars annually.

Don’t let those hidden costs surprise you! Do your research so you know what kind of solution best suits your practice’s budget and needs. You might find it time-consuming, but it will save you time, money, and frustrations down the road – which means more resources to give patients a painless payment experience.

What is a Payment Processing System?

Payment processing systems are an absolute must-have for businesses that need to accept payments both online and in-person. This third-party platform makes transactions quick, easy, and secure. It also has three key components: a gateway, a merchant account, and a processor.

Differences Between Payment Gateways and Payment Processors

To get a better understanding of how payment gateways and processors work together within healthcare institutions, let’s break down the parties involved during any transaction:

  • The patient initiating the transaction
  • The issuing bank that provided them with their debit or credit card
  • Your healthcare practice itself
  • The acquiring bank that is responsible for collecting funds from the issuer

Having a reliable payment processing system at hand can certainly be essential for any success as well as providing convenience to patients when paying.

What is a Payment Gateway?

As a consumer-facing interface used to collect payment information, a payment gateway is an integral part of the healthcare industry. It provides a secure way for providers to accept payments from their patients. It works by encrypting and transferring personal and financial information to a processor so that transactions can be completed safely.

While there has been an increasing popularity of online payments, payment gateways are not limited to just online transactions. They can also be used for in-person transactions by integrating them with point-of-sale systems and EMV terminals.

EMV (Europay, Mastercard, and Visa) terminals use a chip-and-PIN system that is more secure than traditional magnetic stripe cards. This allows healthcare providers to securely accept payments from patients who visit their facilities while protecting sensitive patient information.

What is a Payment Processor?

A payment processor functions as a mediator between the patient, provider, acquiring bank, payment gateway, and issuing bank to ensure the execution of transactions without errors. They provide your healthcare practice with a merchant account to accept credit card payments safely and securely. Payment processors also safeguard patient data from fraudulent activities while reconciling payments for accurate funds on card transactions. They make sure every cent moves where it needs to be for your operations to run smoothly!

Payment Gateways vs. Payment Processors: Which One Do We Need?

The primary purpose of a payment gateway in healthcare is to successfully process payments from patients for both in-person and online transactions, and it has evolved to provide a seamless payment experience across all sales channels and devices. Healthcare practices must choose both payment services: payment gateway and payment processor, to facilitate secure online payments.

We must note that the payment processor does not directly interact with the authenticator – that is the role of the payment gateway. This is why having the appropriate payment gateway matters – it ensures the security of patients’ sensitive healthcare data. To avoid issues, it’s best to choose a provider that offers both.

Hidden Costs of Using an Ineffective Payment Processing System

 

Lost Sales Opportunities

If you cannot depend on your technology, you could lose sales opportunities because you are experiencing declined transactions or checkout errors. For instance, if a patient notices an unexpected fee at checkout, it can cause issues: bombarding your customers with hidden fees erodes trust and loyalty. Patients may abandon their entire transaction, or they may look for healthcare services from a practice with a better, more transparent system.

Chargebacks and Fraudulent Transactions

An ineffective system can lead to numerous chargebacks and fraudulent transactions, which can be costly. Chargebacks happen when patients dispute a transaction with their card issuer. This can result in lost revenue and additional fees. 

According to the Federal Trade Commission (FTC), there were about 390,000 credit card fraud cases in the US in 2021. It’s a huge problem chronicled in a 2022 Nilson Report, which projected that losses from credit card fraud will reach a total of $165.1 billion by 2032.

Higher Processing Fees

Using an ineffective system can result in higher processing fees. Why? Some payment processors charge higher fees for certain types of transactions. Some processors may charge hidden fees, and these fees can quickly add up. 

Time-Consuming Manual Reconciliation

A poor payment system often requires manual reconciliation which takes time and carries risks of mistakes occurring. This can lead to delayed payments and more administrative expenses for the practice itself.

Negative Impact on Patient Experience

Without an effective payment processing system, patient experience will suffer drastically. When medical facilities have difficulties keeping up with the documents and administrative tasks involved in the payment process, it results in issues like payment disputes and multiple overdue payment notifications that can frustrate a patient when making payments. Once the damage is done, it’s usually difficult to recover, affecting patient retention and future referrals. Patients expect smooth processes while a poor solution breaks their trust in your practice altogether. 

The Impact of Hidden Costs on Your Practice

Small changes can make a big difference. This is especially true when it comes to your healthcare practice and managing its finances. One of the changes you may not have considered is switching to a payment processing system that is more effective. Your practice could lose significant time and money because of your poor payment processing system.

Here are just a few of the ways an ineffective payment processing system could be impacting your business: 

Decreased Profit Margins

Higher processing fees, lost sales opportunities, and chargebacks or fraudulent transactions are just some of the hidden costs associated with using a poor payment processing system. Hidden fees expand your operational budget, and the worst part is that providers are often unaware of all the payment processing fees. As a result, they end up paying more than they’d previously accounted for, significantly reducing their profits.

Damage to Reputation and Brand Image

Extended wait times and manual payment processing ruins patient and staff experience, causing them to lose confidence and trust in your health facility. Patients expect a seamless payment experience when paying for medical services. If your payment processing system is inefficient or prone to errors, it can lead to negative patient experiences and damage your reputation and brand image.

Inability to Invest in Growth Opportunities

Your ability to grow can certainly become limited if you are not using a high-quality payment processing system. When you’re constantly spending money on unnecessary fees or dealing with the fallout from having a system that frustrates your patients, you have less money to put towards expanding your practice, investing in new equipment, hiring additional staff, or marketing campaigns that could fuel business growth.

How to Choose the Right Payment Processing System for Your Practice

For many healthcare providers, it can take several months to collect the medical bills they send to patients. In fact, over the last few years, it has taken increasingly longer for healthcare providers to be paid. This is because the number of unpaid medical bills continues to rise as patient financial obligation continues to increase. On average, the patient is responsible for 50% of all healthcare costs.

For many patients, an inability to pay their medical bills is not necessarily the cause of unpaid balances – it can actually be a result of inefficient payment processing systems used by healthcare providers. Whether online or in person, slow transaction times, security risks, and technical issues can all prevent timely payments from being completed successfully. Also, if preferred methods for payments are not available, then bills may remain outstanding due to a lack of accessible payment alternatives.

It’s evident that the right payment processing system can help you better manage your practice’s revenue cycle. When choosing a payment processing system, there are several steps you should take to ensure you will be able to overcome any future challenges you may face in regard to your revenue cycle:

  • It’s important to research and compare different options.
  • Analyze the features you need for your business to run optimally – such as security measures and compliance with regulations.
  • Look into any special features like Card Account Updater (CAU) from BillFlash Pay Services that could save time when dealing with payments. CAU automatically retrieves new card details from Visa, Mastercard, or Discover if a patient has been issued a new card. This way, there are fewer declined or late payments which can help free up staff resources.

Key Features of an Effective Payment Processing System

  • Online bill payment services
  • Security features and compliance
  • EMV terminals for accepting in-office payments
  • Payment follow-ups, such as text reminders and notifications

Taking all of these elements into consideration will ensure you make an informed decision on choosing the best payment processing system for your practice.

Importance of Investing in the Right Payment Processing System for Your Practice

Navigating payment processing can be a challenging task for any healthcare institution, regardless of size. With the sheer amount of patient transactions and financial operations, it’s easy to feel overwhelmed or out of your depth – but there is a solution. Having the right payment processing technology will ensure your staff can focus on larger objectives.

If you’re ready to take your practice to the next level, investing in the right payment processing technology is key. BillFlash Pay Services powered by EZClaim can help revolutionize your financial strategy and save time with a range of payment solutions that will increase revenue, reduce costs, and maximize efficiency.

With just one simple process you can easily optimize all payments – streamlining operations and providing valuable insights into performance metrics so you get more value out of every transaction. Take advantage of these dynamic services today and see how they transform your practice – schedule a demo today!


Medical Billing Trends to Monitor: Prior Authorization and Eligibility Automation

Medical Billing Trends to Monitor: Prior Authorization and Eligibility Automation

 
Automation of both eligibility and prior authorizations are having a considerable impact on the world of healthcare. The simplification of these processes has made life a lot easier for both patients and practices alike. Let’s discuss some of the most significant impacts of the trend of automation when it comes to eligibility and prior authorizations.

 

1. Improved Efficiency

The eligibility process has been made considerably easier by the automation of some of its more arduous aspects.This means less paperwork and phone calls, and less human error. Of course, anything automated is not only going to get done faster, but be free of pesky human errors that plague any manual process. Automated systems verify coverage upfront, allowing providers to bill more accurately and promptly, resulting in faster reimbursement, improved cash flow, and more efficient billing process.

Additionally, many eligibility automation systems can often be integrated with existing electronic health records (EHR) or your practice management system. This integration eliminates the need for duplicate data entry, improves data accuracy, and ensures seamless information flow across different processes and departments.

Automated eligibility also makes life easier for your patients, as you can provide them with more accurate information about their insurance coverage upfront. This enables your patients to make informed decisions about their healthcare and avoid unexpected financial burdens that may decrease collections and damage your revenue cycle.

In terms of authorizations, ePA systems can almost completely automate the prior authorization process, eliminating the need for manual paperwork and phone calls. ePA systems also facilitate real-time communication between healthcare providers and insurance companies. This allows for quicker processing and response times, resulting in faster approval or denial decisions. Implementing electronic prior authorization enables you to operate more nimbly than your peers. However, it is important to note that not all insurance companies have fully adopted electronic prior authorization, so although you shouldn’t completely abandon manual processes for now. Some aspects of the process like case review will remain human for now, but don’t expect the trend of automation to go away anytime soon.

 

2. Reduction In Claims Denials

Although we touched on it in the first section, automating eligibility and prior authorizations helps save your practice from costly claim denials, and makes your billing process more frictionless.

Automated eligibility checks can be performed in real-time, allowing medical providers to quickly verify insurance coverage before providing services. This helps avoid denied claims and facilitates faster reimbursement for services rendered.

ePA systems help minimize denials and billing errors by improving the accuracy and completeness of prior authorization requests. Your electronic prior authorization platform can incorporate validation checks, ensuring that all required information is included before submission, increasing the chances of successful authorization and reimbursement.

 

3. Reduced Administrative Burden

Technology has made it easier to access and compare healthcare prices. Healthcare price transparency tools, such as online databases and apps, allow patients to compare prices across different providers and make more informed healthcare decisions.

In addition to decreasing time spent on manual tasks in the prior authorization process, electronic prior authorization eliminates the need for printing, mailing, and storing paper documents associated with prior authorization requests, reducing clutter and helping your practice become paperless. If you are looking to maximize your practice’s efficiency, you should certainly look into automating the prior authorization process.

Automating eligibility verification and prior authorization can help take your practice to the next level. To do so, you’ll need some great clearinghouse partners in your corner. We work with TriZetto Provider Solutions, Waystar, and Claim M.D, in particular.

 


Automating eligibility verification and prior authorization can help take your practice to the next level. To do so, you’ll need some great clearinghouse partners in your corner. We work with TriZetto Provider Solutions, Waystar, and Claim M.D, in particular.

If you are looking for a way to improve your practice’s revenue cycle management and make your billing process more efficient, EZClaim can help. Our industry-leading medical billing software has everything you need, and nothing you don’t: all to make the billing process as simple as possible. If you are interested, we encourage you to schedule a free demonstration to learn more! If you want to pursue automating the eligibility verification process, we have some outstanding partners who can help you in that journey.