An insured company is supposed to pay for the medical bills of an insured person. Laboratory billing is involved in the process. Laboratory billing is mainly the interaction between a clinical laboratory and an insurance company. The interaction is aimed at providing a resolution, and so it can take several days or even months. The process begins with laboratory coding. The reason, why laboratory coding is done, is to determine the medical coverage and whether the services provided to the patient are necessary. An insurance company is given a claim after the procedure determination and codes provision. The eligibility of the claim is determined by the insurance company. If the claim is found eligible, and the insurance company accepts, it pays for the medical services.
In the past, the process was done manually. Therefore, a lot of paperwork was involved in the process. Handling a lot of paperwork is tiresome and time-consuming. With advancement in technology, a laboratory billing software was developed. The software helped improve the financial standings of labs and hence making the laboratory billing system effective. Also, it helps the staff to work as quickly as possible. Ensuring that your laboratory billing system is effective has a number of advantages. Some of the reasons why it is advantageous are discussed below.
You are able to serve patients effectively when you have such a system. To avoid patients’ congestion in the lab, as a staff you need to schedule their appointments. Before you schedule for a patient’s appointment, you need to ensure that patient is eligible for the medical insurance. An effective lab billing system is able to determine a patient’s eligibility by testing the patient’s profiles. An effective lab billing system helps to schedule the appointment times for the patients. The patients are called to be informed about their appointments after the appointments are scheduled.
An effective lab billing system helps data to be tracked easily. In a laboratory billing system, there is a laboratory billing information system. Data tracking is easy when the laboratory billing system is effective. Obtaining of revenue is after the claim submissions are managed by the lab owners. An effective laboratory billing system helps them to manage the claims in real time since the claims are easily tracked and hence obtain revenue easily.
Reporting capability is enhanced by an effective laboratory billing system. The insurance company and the lab owners have to meet to ensure that there is a smooth flow of activities. Such meetings are reported by a laboratory billing system. When the system is effective, the reporting will also be effective. Having an effective laboratory billing system in your laboratory is very important. Some of the advantages are discussed above.