MEDICAL BILLING SYSTEMS

Medical Billing Solutions are robust software applications that automate the complete billing process in healthcare. Medical billing systems software optimizes the patient insurance verification, claims submission, claims tracking and payment processing OSP can build hospital medical billing software that will streamline the insurance verification process, manage claims submission and tracking and ensure faster turnaround of payments Our custom medical billing software consolidates all the billing workflows into one interface and streamlines the process. As a result, there is a significant increase in the speed and productivity of working, not to mention fewer mistakes. So, our custom medical billing software systems can result in steady revenue cycles for providers and a better patient experience.

Solution
Let’s build your project

Explore Medical Billing

Medical billing system software requires a non-fragmented workflow. Workflow management requires multiple medical billing process tasks that move from one step to the next until the task is complete. Some of these billing tasks include the processes of patient’s insurance eligibility verification, pre-authorization, appointment scheduling, medical coding to ensure accuracy with the right ICD 10 codes, validation, and explanation of benefits posting, and more. Every care facility and hospital management system have their own set of billing rules that require stringent management.  

OSP can learn about your current traditional billing system and its rules to leverage healthcare automation solutions through a billing and claims rule engine. We can build custom medical billing solutions that will simplify detailed data entry, complete charge capture, and the continual discovery and elimination of medical billing errors while boosting the speed and accuracy of medical billing solutions. 

Automated appointment scheduling and tracking is one of the essential features of comprehensive and efficient patient billing software. Manual appointment scheduling is time-consuming and a process of hassle. A patient scheduling solution integrated with medical billing solutions can save your time and take the hassle out of the task by automatically scheduling and tracking the patient appointments. OSP can make appointment scheduling a part of medical billing solutions, patient pre-registration is made simple.  

We can build medical billing software systems as a healthcare cloud solution based on your requirements. Scheduling patients without verifying insurance eligibility can be hazardous to a clinic’s cash flow. Also, calling insurance companies to check a patient’s insurance eligibility is a resourceful task. We can build tailored cloud-based medical billing software with appointment scheduling feature that can help automate insurance eligibility verification while setting up the encounter forms for procedure and diagnosis. You can also add scheduling rules based on physicians’ availability to make your medical billing management more efficient. 

Medical billing and coding are a standard method through which standard ICD 10 codes are established to categorize patient information records and dictate medical billing towards the insurance companies. According to the CMS (Center for Medicare and Medicaid Services), medical coding errors have caused around $16.73 billion in improper payments in FY2019. Medical coding, if done manually, is a highly complex process and requires a workforce. Still, medical coding errors can break the cash flow and revenue management of a clinical facility or hospital.  

OSP has experience building medical coding automation solutions that can add pre-defined ICD 10 codes to appropriate treatment procedures removing the chance for error and further denial of a claim. We can build tailored medical billing solutions that can help avoid billing inaccuracies and costly mistakes. These medical billing systems can identify and validate the right CPT codes and bring 100% accuracy in your claims for better case management. 

Integrating EHR to the medical billing systems solves multiple challenges the providers face while maintaining their medical billing services’ optimum quality. Integrating the healthcare billing solutions with EHR reduces the risk of human error, leading to non-uniform data. Instead of being complicated and time-consuming, such patient billing can navigate and exchange data from your EHR system and vice versa. These billing systems can become interoperable and remain under one management system. 

Medical claims management can be simplified with robust integrations to HIPAA compliant medical billing systems. EHR integration not only brings all the processes to a single platform but also helps to maintain the much-needed transparency in medical billing service. The medical billing solutions with EHR integration can eliminate the lost superbills and electronically generate superbills and then bill the insurance carriers. With an integrated EHR, healthcare providers are no longer required to devote their time and effort to fill out forms and process medical claims. The reduced billing workload gives the healthcare staff more time to focus on providing quality patient care. 

Revenue optimization is the crucial goal of the RCM system. We build customized medical billing solutions that strive to maximize your clinical facility and hospital’s revenue optimization. Automated charge capture, timely payment posting, revolving credit balances in AR, seamless AR management, avoiding payment duplications, online statements, and payment plans can be incorporated while customizing medical coding solutions.  

Medical billing companies determine what patients owe and what expenses the insurance companies cover. They process billing and send invoices to patients and insurance agencies, Medicare, and Medicaid to ensure they pay their respective expenses. The healthcare payment systems can be streamlined for revenue optimization and collection of payments through multiple digital payment modes, even e-Wallets. We can tailor medical billing solutions with a wide variety of functionalities like patient statements, bill generation, bill recording, billing rules engine, denial management, electronic superbill, payment reminders, and batch payments. 

Medical claims management is the central process in a medical billing system. Healthcare claims management requires medical billing and coding, filing, updating, and processing medical claims. These medical claims are related to patient diagnosis, medical treatments, and medications. Maintaining patients’ medical records, interacting with health insurance companies, and issuing invoices for the rendered medical treatment is time-consuming and complicated.  

OSP can engineer medical billing and coding solutions that can simplify electronic claims processing and paperless claims collections. We understand the tour needs in detail and build medical billing solutions to streamline the medical billing process and prevent communications from being lost in the mail. We can build comprehensive medical billing management for you by adding insurance payment listing, electronic claims processing, claims scrubbing, claims tracking, managing claims history, claims reconciliations, and electronic remittance advice and alerts. 

AR follow up is an essential feature in the medical billing platform. Accounts receivable directly impact the financial health of the practice and including this in the hospital billing system software can efficiently optimize the revenue cycle. OSP can develop software for medical billing with AR follow up feature to maintain a stable cash flow. We can monitor payment timelines, identify delays and discrepancies.  

Our custom medical billing solutions with AR follow up can also prevent revenue leakage by identifying and resolving billing errors, claim denials and underpayments. These functions help in maximizing revenue collection and financial stability. Our software will generate notifications and bills at appropriate intervals, such as 30, 60 and 90 days past due for patients. 

Reporting and analytics feature in medical billing solutions will give a comprehensive view of a hospital’s financial health. OSP’s custom medical billing solutions incorporate reporting and analytics features tailored to hospital medical billing software. With our solution, healthcare providers can monitor their financial performance through dynamic dashboards, offering insights into A/R trends, CPT reporting, reimbursements analysis, and referring providers.  

Our custom medical billing solutions enable benchmarking against industry standards, identifying revenue opportunities. OSP’s custom medical billing software ensures data visualization with cross-browser capabilities, facilitating a deeper understanding of financial aspects. Users can build and customize reports, applying filters by provider, carrier, location, and date range. OSP supports seamless integration with EMR/EHR for accurate and timely reporting, fostering data-driven decision-making. 

Benefits 

We can develop health care billing solutions to replace physical paperwork and documentation with a consolidated digital interface. In other words, activities that previously required papers and physical filing can now be done with some clicks. This increases the speed of operations and reduces the overhead involved in medical billing. Furthermore, a reduction in the carbon footprint is an added benefit of a paperwork reduction. 

We can build custom medical billing systems software to automate many steps involved in many billing activities. The software automates most or all of the repetitive and mundane activities involved. As a result, there is a sharp increase in the speed of medical billing, coupled with a significant reduction in the number of errors since automation minimizes human interaction.

Reimbursements from payers form a major part of the revenues for providers. But providers often grapple with claim rejections and denials. But OSP will design billing software for doctors aimed at activities surrounding claims to streamline and even automate them. As a result, there is a significant reduction in denied or rejected claims, leading to higher incomes for providers. So, an investment in our billing systems for healthcare results in steady revenue cycles.

Let’s build your project

Boost Your Revenue

OSP's RCM application is a one-stop solution for all your billing and revenue cycle needs. Streamline your workflows, identify scopes of cash flow and reduce denials.

SIGN UP FOR DEMO
dashboard

Medical Billing Software Development Services

Industry

Patient Registration For Healthcare Billing Solutions

  • Access to Patients’ Demographic Information
  • Verification of Health Plans
  • Billing Systems for Enrolling Healthcare Providers
  • Viewing of Patients’ Medical History
  • Faster Pre-Authorization for Medical Procedures
Industry

Claims Management For Medical Billing Systems

  • Fast and Accurate Claims Processing
  • Automated Scrubbing of Claims With Health Care Billing Solutions
  • Submission of Claims With Compliance
  • Medical Billing Solutions For Claims Tracking
  • Health Billing Systems for Claims Analysis
Industry

Billing Systems in Healthcare For Accounting

  • Health Care Billing Solutions For E-Invoicing
  • Feature for Automated Medical Coding
  • Medical Billing Systems That Send Payment Reminders
  • Custom Solutions for Payments Processing
  • Aggregated Platform to View Payment History and Other Workflows

Our Core Services

Solutions We Offer

What Our Client Said

Industry Industry Industry Industry Industry Industry Industry Industry Industry Industry

Case Studies

Let's Begin

Latest Talks

Author
Insight

Credentialing in Medical Billing: Everything You Need to Know

Read More Hear
Author
Insight

Electronic Medical Billing System Vs. Traditional Billing System- Which Offers the Best ROI

Read More Hear
Author
Insight

How Automation in Medical Billing Can Prove To Be a Game Changer for Healthcare Providers in 2023?

Read More Hear
Author
Insight

The Importance of EMR Applications In Medical Billing Cannot be Understated

Read More Hear
Author
Insight

How to Successfully Implement EHR in Medical Billing?

Read More Hear
Author
Insight

Ready to Minimize Denial and Improve Your Revenue? Customized Cloud-based Medical Billing Software is Here to Help!

Read More Hear

Frequently Asked Questions

Custom medical billing software solutions are tailored to the specific requirements of healthcare organizations, offering personalized features and workflows. Unlike off-the-shelf solutions, custom software adapts seamlessly to unique processes, ensuring optimal efficiency, compliance, and scalability. It aligns with the distinctive needs of healthcare providers, enhancing overall performance in billing operations.

Custom medical billing software solutions offer tailored features, streamlined workflows, and adaptability, addressing specific organizational needs. It enhances efficiency by eliminating unnecessary functionalities, reducing manual effort, and ensuring compliance. Custom solutions optimize billing operations, leading to faster processes, minimized errors, and improved overall performance in healthcare organizations.

Medical billing systems software streamlines the billing process through automated workflows. They facilitate real-time eligibility checks, claims submission, and denial management. Integrating with electronic health records, these solutions minimize manual data entry, ensuring accuracy and efficiency. Automated coding assistance, transparent patient billing, and diverse payment options enhance the billing process.

Integration of EHR with medical billing systems software benefits healthcare providers by ensuring seamless data exchange. It enhances accuracy in claims processing, reduces manual errors, and expedites billing workflows. Real-time access to patient records streamlines billing tasks, optimizing efficiency and improving overall financial performance for healthcare organizations.

Medical billing solutions tackle claim denials and rejections through proactive denial management. To minimize inaccuracies, they employ automated validation processes, real-time eligibility checks, and error detection algorithms. By identifying root causes promptly and providing actionable insights, these solutions optimize the claims submission process, reducing denials and enhancing revenue cycle efficiency.

Automated claims processing in medical billing systems software streamlines workflows by expediting claims submission, validation, and adjudication. It reduces manual intervention, minimizes errors, and accelerates reimbursement cycles. This efficiency improvement ensures faster and more accurate processing, leading to optimized financial outcomes for healthcare providers.

When selecting custom medical billing software solutions, key considerations include compatibility with existing systems, ease of use, compliance with industry regulations, scalability, and integration capabilities. Customizability, reporting features, and vendor support are also vital to ensure the chosen solution aligns with the unique needs and workflows of the healthcare practice.

Medical billing software systems for telehealth services navigate complexities by incorporating specific billing codes and modifiers for virtual visits. They ensure compliance with regulatory requirements and reimbursement guidelines. Automated features streamline claim submission, reducing errors and facilitating accurate reimbursement for healthcare providers offering telehealth services.

A cloud-based medical claims billing software system offers advantages over on-premise solutions, including accessibility from anywhere, automatic updates, scalability, and cost-effectiveness. It reduces infrastructure costs, ensures data security, and provides real-time collaboration. Cloud solutions enhance flexibility, streamline operations, and adapt to evolving healthcare billing solutions needs more efficiently than traditional on-premise setups.

Medical billing system software uses real-time eligibility verification by accessing payer databases to confirm patient insurance coverage. It prevents claim denials by ensuring accurate and up-to-date information before claims submission. Automated verification reduces errors, enhances billing accuracy, and contributes to the overall efficiency of the medical billing process.

Medical billing system software expedites the processing of denied claims by implementing proactive denial management. Strategies include timely identification of denial reasons, automated resubmit workflows and continuous monitoring. By addressing issues promptly, services minimize revenue loss, optimize reimbursement cycles, and enhance overall financial performance for healthcare providers.

Medical claims billing software supports value-based care by incorporating features for tracking quality metrics, patient outcomes, and adherence to value-based contracts. They facilitate accurate reporting and seamless data exchange, ensuring compliance with evolving reimbursement models. This contributes to successfully implementing and optimizing value-based care initiatives in the healthcare industry.

OSP addresses payer contracts and negotiates challenges within custom medical billing software by offering customizable medical billing management. Healthcare billing systems streamline negotiation processes, ensure accurate contract terms, and automate reconciliation. This approach optimizes reimbursement, reduces disputes, and enhances overall financial outcomes for healthcare organizations.

OSP assists healthcare organizations by tailoring hospital medical billing software to their unique needs. We comprehensively analyze workflows, compliance requirements, and specific challenges. Our development process involves close collaboration, ensuring the software aligns precisely with organizational needs, optimizing efficiency, and promoting successful implementation.

Yes, OSP can seamlessly integrate custom hospital medical billing software with various healthcare billing solutions and third-party applications. Our expertise ensures interoperability, data consistency, and streamlined workflows. This integration creates a cohesive technology ecosystem, facilitating efficient data exchange and optimizing overall operational performance for healthcare organizations.

OSP ensures compliance with healthcare regulations, including HIPAA, by implementing robust security measures in custom healthcare billing software. It includes data encryption, access controls, and regular security audits. Our development process prioritizes patient data protection and legal adherence, providing healthcare organizations with a secure and compliant solution.

Schedule A Call