Medical billing in the US is governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The act insists that all medical institutes that deal with patients must send and record all billings electronically. This is where software for medical billing and coding becomes a necessity as well.
Generally this software is created to be utilized by doctors, medical institutes, and insurance companies – basically any company that must generate a medical bill or claim. This software need to be HIPAA compliant by law.
The software for billing and coding is designed to work will popular platforms such as Windows or Vista and make it easy to generate bills through automated billing systems programmed within, cutting down time and mistakes in generating electronic bills.
Some billing software also comes with direct emailing features which allow the user to generate and send the emails using the same software. Additional features can include data entry, generating and printing the data in report form, scheduling appointment and tasks within the billing software etc.
Moreover, prior to generating the electronic billing, the medical service provider is required to check on patient records online to see if their insurance covers the medical services requested. This data request is known as Health Care Eligibility & Benefit Inquiry transaction. The response returned to such a request is called the "Health Care Eligibility & Benefit Response transaction. These transactions use something called practice management software.
AR-Express is medical billing software that is used to manage the every-day operations of a medical practice - like recording patient data, scheduling appointments, maintain insurance information in addition to billing. Medical billing software like AR-Express are created specifically for small or medium sized businesses and come in desktop, client server or internet based versions.
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