While the primary function of your medical clinic is to treat patients, it also exists to make a profit for its owners. Much of its ability to make a profit depends on how effectively it can bill insurers and individual patients.
To speed up billing processes and minimize liabilities to your clinic’s daily functions, you need to use the latest billing software that is designed for the healthcare industry. You can use it for creating invoices, Medicaid risk adjustment and other tasks that underlie how much money your facility brings in each day.
Determining Valid Services
When you use innovative healthcare billing software, you can mitigate any Medicaid risk adjustment by determining what kinds of services patients with this insurance can receive. Medicaid will not pay for services that are not deemed necessary for a patient’s survival. It also typically will not reimburse your clinic in full for the services rendered.
Because you know that you will receive partial rather than full reimbursement from this insurer, you must determine what treatments are the most cost-effective for your clinic to render. You do not have to do the math or figure this information out in your head. You can rely on the software to make that risk adjustment for you and then create a list or spreadsheet of suitable treatments or common illnesses.
Generating Billing
Your billing office staff are also busy enough with handling customer service phone calls and answering correspondence from insurers and patients. They do not need to be tasked with creating invoices for clientele. Instead, your billing software can be programmed to generate invoices for clients and insures for your clinic.
You can find out more about using Medicaid risk adjustment software online. Contact GeBBS Healthcare Solutions for more information.
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