Years ago patients’ insurance eligibility took weeks or months to determine. Now, with the help of electronic medical records, verifying insurance claims happen at the touch of a button.
Nitin Chhoda describes the push-button feature technology that EMRs are providing in order to streamline the physical therapy documentation process.
Submitting reimbursement claims is one of the most important tasks in a physical therapy documentation process.
It’s also one of the most time consuming, fraught with multiple opportunities for audits, denials and requests for additional information.
Those who have implemented an EMR know first-hand that errors and mistakes can be virtually eliminated through push button claim submissions and insurance eligibility.
EMRs Role to Claims Submissions
EMRs offer the most sophisticated means available to submit claims and verify the insurance eligibility of any patient.
A tablet-compatible EMR allows clinicians to tap a button to submit claims singly or as a batch.
Therapists utilizing an EMR can verify the insurance eligibility and coverage of any client with push button functionality. They can also identify claims that could be red-flagged by insurance providers.
Push-button claims submission allows clinic owners to submit reimbursement claims to a wide variety of payers, from private insurance and military insurers to Medicare and Medicaid.
Physical Therapy Software
Physical therapy management software simplifies and expedites the claims process for reimbursements that are less likely to be questioned and payments that reach the practice’s account quicker. An EMR can be integrated into existing insurance eligibility office systems and streamlines the entire billing process and workflow.
Refiling claims, denials, and responding to requests for clarification and more insurance eligibility information cost practices untold hours of work, effort and lost or late revenues. EMRs use the power of the Internet to file claims in real time that arrive almost instantly, allowing the adjudication process to progress quicker for better cash flow to the clinic.
Push-button claim submissions provide the means for practice owners to send reimbursement requests from the office and any venue where clinicians provide their services.
The insurance eligibility systems are HIPAA compliant and offer an enhanced level of safety and security for sensitive information. EMRs make it possible to have a patient’s office visit ready for billing even before they leave the building. EMRs provide another essential service for physical therapy clinics.
In a time of economic flux, insurance companies and other payers are examining claims closer than ever before.
Insurers are reducing available services to clients and placing monetary caps on the amounts for which they’ll pay. Many patients aren’t aware of the limitations associated with their insurance coverage and are taken completely by surprise when they find out.
Practice owners with an EMR can utilize the push-button feature of an EMR to ascertain if a patient is eligible for coverage, if there are limits on services or monetary amounts, and required co-pays. That feature alone can save clinicians thousands of dollars each year.
People change jobs and lose their insurance, and healthcare coverage is at such a premium in the U.S., that there’s even an active market in insurance identity theft. An EMR provides the tools for clinics to immediately verify insurance eligibility and protect themselves from those who would obtain services to which they’re not entitled.
Push-button technology assists therapists verify a client’s healthcare coverage, and submit reimbursement claims with alacrity and ease for practice profitability. Push-button claims submission and insurance eligibility allows practice owners to submit billing in real time, virtually eliminate errors that slow down reimbursements, and increase cash flow.
That same technology helps therapists determine a client’s available coverage to provide better patient care, while protecting themselves from those that would cheat the system and therapists of their rightful payments.