An important characteristic one has to keep in mind in any Healthcare Software development process is the billing part. Whether it is due to a mistake made by the coder or the medical biller, a delay or hassle during the payment process can cause frustrations for both the patient and the organization. This can slow down the entire payment process of these organizations and cost them additional money that otherwise should not have.
Laboratories will try to hire a third-party for all their necessary Healthcare Software development and handle their billing and logistics systems. These systems are essential parts of the process, and thus, developers who are experts in handling these kinds of Healthcare Software development must be hired. Not only can these experts save organizations their time, but they also have the appropriate knowledge to create a perfect Healthcare Software development system efficiently and quickly. This can open new doors for laboratories and allow them to focus on more important matters as their billing system works faster and without any errors.
However, before you hastily outsource a company for your laboratory’s Healthcare Software development, there are some things you should consider. Organizations make quite a few mistakes when deploying their billing software and implementing it to their system or their existing software. These mistakes might further exaggerate existing problems with your billing system or even cause new ones. Here are four common mistakes that organizations make before and after initiating a Healthcare Software development and implementing it into the billing system:
1. Volume Expectations are not met.
Laboratory managers usually face failure to reach the expected volume, as these numbers can sometimes be tough to predict. The complete price of certification and recertification processes for any medical laboratories are hugely dependent on the number of tests done on the number of patients in the laboratory each year. Therefore, the expected volume must be reached every year.
A simple solution to this is to document the minimum and maximum volume that the laboratory has had in the past and analyze that data to predict a somewhat accurate volume for future billing purposes. If the amount of activity a medical laboratory undergoes is documented carefully and accurately, a more detailed and more precise view can be obtained from the expected volume. This will help laboratory managers predict revenue flow more precisely and use this data for better Healthcare Software development.
2. Not having the required Laboratory Licensing
Before hiring developers for your laboratory’s Healthcare Software development, you must make sure if you have all the proper certifications and licensing or not. The clinical laboratories have to be compliant with specific rules and regulations to be considered a certified center for providing medical services. Laboratories must keep in mind to go through all necessary licensing as any developing services provider will usually not start Healthcare Software development for your organization until and unless you provide them with these credentials and licensing.
3. Untrained Staff in Coding Regulations
One press of an incorrect key by your staff might result in a series of results that might not only harm the patient’s patient’s claim process but can also result in a very tedious and frustrating process of doing the entire billing once again. Error is expected to occur when it comes to medical billing, as there are several codes that the biller is supposed to know, and it is only human to make a mistake.
If the staff of any laboratory is not adequately briefed about the regulations for procedures codes and diagnosis codes, mistakes are imminent. For instance, if you think that your organization has more claim denials than usual, it is probably because of your billing staff not knowing the right codes or making many mistakes while coding. Upcoding or under coding, albeit usually done intentionally, can occur if the team is not up to date. Upcoding or overcoming is when the patient is billed more than the services they received, and under coding is the opposite, where a patient is billed less than what is expected. This is a serious fraud that your staff can practice unintentionally, and your patients might be a victim of if your team inputs wrong codes.
They are initiating Healthcare Software development for the billing department to make such a system that identifies such discrepancies can be a solution to this problem. The system can be fed all the codes for the necessary procedures and diagnoses. When a coder makes any mistake writing the code or inputting the incorrect code, the system will immediately point it out, and the coder can then make all the necessary changes.
4. Lack of New Software Knowledge in the IT Department
Technology has evolved exponentially, and so has frameworks on which a piece of software is coded and developed. Suppose the Information Technology department of a laboratory is unfamiliar with the software. It used to acquire all its benefits and potential. In that case, it might be a total loss for that said laboratory. New software must be carefully examined to see what it offers and find a fair process. That can make the laboratory’s existing operations much faster.
Hiring an external IT professional who knows the ins and outs of the software your organization is working with can help not only you but also your staff. That personnel can easily take care of any upgrades. That the software might need or look out for any team problems while using it.
Thus, there are many aspects that one has to keep in mind while integrating a billing system into laboratories. To know all your options and choose an excellent developing company is crucial.