How to Overcome Billing Challenges Within EHRs

Woman leads group therapy with young adults

Electronic Health Records (EHR) have revolutionized the healthcare industry by providing a more efficient way for healthcare providers to manage patient information. However, with this increased efficiency comes new billing challenges.  In order to overcome these obstacles with EHRs, you need to understand the system and how it works. Integrity Support is here to help you better understand these complex systems by providing the best EHR software information. In this blog post, we will discuss some of the most common billing challenges and how to overcome them. 

therapist takes notes

Changes in Patient Insurance

One of the most common billing challenges faced by healthcare providers is changes in patient insurance. This can be a result of patients changing jobs, switching to a new plan, or simply forgetting to update their information. When this happens, it can cause delays in reimbursement and even denied claims. To avoid these issues, the first thing you should do is contact the insurance company to verify that they will cover the treatment and ensure they don't require special steps for approval. This can help you protect both your business and your patient from any unexpected charges from the insurance company.

Accommodating the Filing Preferences of Insurance Companies

Another common billing challenge is accommodating the filing preferences of insurance companies. Every insurance company has different rules and regulations that you must follow in order to get reimbursed. This can be a difficult task to keep track of and can put your business finances at risk. The best way to ensure you are complying with each insurance company's filing requirements is to work with a dedicated billing specialist. This specialist stays up-to-date with the changing needs of insurance companies to help ensure that claims are filed correctly. This can help your practice collect payments more efficiently and prevent delays in providing treatment to patients. 

woman talking with a therapist
therapist talking with a patient

Coding Correctly

Coding is a critical part of the billing process and even a small mistake can result in a denial of payment. In order to avoid this, it is important to have a dedicated coding specialist on your team. This specialist will be able to review your claims and make sure they are coded correctly before they are submitted. This will help you avoid any delays in reimbursement and ensure that you are getting the full amount you are entitled to. 

Claims Being Delayed or Denied

One of the most frustrating billing challenges is when claims are delayed or denied. This can happen for a number of reasons, but the most common is incorrect coding. As we mentioned before, it is important to have a dedicated coding specialist on your team to avoid this issue. Another reason claims may be delayed or denied is if the insurance company requires additional information. In this case, it is important to contact the insurance company and determine what they need in order to process the claim. 

Woman leads group therapy with older adults

With Checkpoint, you can get some of the best EHR software features available. Ideal for independent practitioners, Checkpoint helps eliminate human error when inputting patient claims through its hands-free submission feature. It also can reduce claim denials by ensuring everything goes through the first time with its authorization tracking. Overall, Checkpoint helps you minimize the typical billing challenges healthcare professionals face with EHRs, helping their businesses get paid faster.

 

 With the help of Checkpoint, and by understanding the common billing challenges healthcare professionals face, you can ensure that your practice runs smoothly and efficiently. If you have any questions about EHR software or billing, please contact Integrity Support. We would be happy to answer any of your questions!