Huge Changes Ahead for Medical Billing

Something has been developing in the world of medical billing that is going to change the whole process of submitting medical insurance claims to the insurance companies in a big way. We who are immersed in the field are used to changes. Codes are always changing. We all had to get used to obtaining and the correct use of NPI numbers. Now insurance companies are telling us that we will be required to use taxonomy codes. Universal credentialing is now required by many insurance companies. But these are all small in comparison to what we will soon be seeing.

As technology develops changes are unavoidable. Often it seems as if the new technology only makes things more complicated and more expensive. Changes such as NPI numbers require new software updates which can be quite costly. As it is, a good medical billing software package can cost thousands or tens of thousands of dollars for the initial purchase. Generally a new version comes out every year requiring the additional expense of updating the software. For a small doctor’s office or a new medical billing service this expense can be out of the question. This is one of the reasons we see so many doctors joining groups directly out of school instead of opening their own practices. It is just too costly to set up their own offices.

Now we see a change coming which can turn the world upside down for the small medical office and medical billing services. SaaS technology has brought about the ability for the little guy to compete with the big boys at not only an affordable price, but a money saving plan.

The development of web based medical billing software over recent years has really changed the work flow process in the offices that could afford it. One advantage of web based software is that it has added features which eliminate the tedious work of running aging reports. Claim status can be checked automatically on a daily basis with problem claims being routed to a queue. Payments of insurance claims can be posted electronically eliminating hours of tedious data entry. And these are just two of many major time saving advantages. The big disadvantage was the cost. Web based software is generally extremely expensive. But that was before SaaS.

Software as a service (SaaS) has allowed a company to emerge which offers the same benefits of web based software for a fraction of the cost. Now for $99 a month per seat a doctor’s office can enjoy the benefits of web based software with no up front costs. The cost to a medical billing service with unlimited providers is $149 per month per user. This is much less than the cost to most offices of updating their server based software and paying for support.

The benefits of web based software are obvious but up until now the cost wasn’t justified. Now, due to SaaS, any office can enjoy all the benefits at a fraction of the cost of other web based software. For more information on Xena Health and the SaaS technology, you can contact Alice or Michele at 1-800-490-4299.


3 Responses to “Huge Changes Ahead for Medical Billing”

  1. Linda Walker Says:

    Web Based Software is really not new nor is up-coming in turning the billing industry “upside down” certainly it is a big change, but one that has been looming over the last 10 years. I think what’s changed is “view points”. For example, when web based software first entered the picture I was genuinely concerned and against it, but the more I learned about it, researched it and actually used it the more I realized what a great selling benefit it was to outsourced billing companies. “Control” for the practice is a big benefit to outsourcing.


    Linda Walker

  2. Mitch Says:

    I hate that insurance companies are looking for taxonomy codes now, not because they’re hard, but because they’re unnecessary. To me, it’s just another way they’re trying to find to deny claims, and as you mention, software has to fight to keep up with all these new requirements.

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