How To Optimize the Health of Your Healthcare Billing Operations

Healthcare billing is a constant source of pressure for providers and insurers. Every new treatment, procedure, or test comes with an invoice that must be filled out properly in order to prevent fraud. But as much as we might like it, healthcare costs are rising faster than inflation or the rate of wages. That means every dollar spent on healthcare gets less value with each passing year. How can you keep your healthcare billings operations efficient while still giving employees the time they need to meet stringent requirements and avoid penalties? Read on to learn more about how to optimize the health of your billing operation.

Clearly Define Your Objectives

Healthcare billing has one goal: to get paid. No matter what the situation is, if you can’t see it or touch it, it probably won’t be happening. You need to clearly define your objectives and make them the driving force behind your strategy. The healthcare industry is unique in that it’s not just a function of the practice — it’s a function of the entire ecosystem. It’s the doctors’ offices, pharmacies, labs, and other providers who all have an impact on your company’s success. It’s a complex system where every part has a role to play. You need to be able to tie billing to your other business goals. Specifically, you need to tie billing to your profitability, cash flow, and profitability.

Be Realistic About Patient Expectations

Patients and their expectations are one of the biggest challenges for healthcare billing. It’s not uncommon for patients to ask for items that are outside the scope of your practice. For example, a patient might want a flu shot that your practice doesn’t offer. If you’re not set up to accept the insurance plan of your patient, the situation is even more complicated. If this happens, you need to be realistic with your patient about what you can offer. Explain how your practice is set up and what services you can provide. Even if this doesn’t fully resolve the situation, it can defuse an explosive situation before it gets out of hand.

Streamline Your Data Processes

One way to streamline and optimize your healthcare billing is to examine your data processes. Start by getting an overview of your workflow and data flows. How do you collect data? Where are it stored? What are your archiving processes? Before you make changes, take a step back and look at your workflow. Ask yourself, “Is my workflow effective?” Is there a better way to handle the data flows? Is there a process that you could eliminate? What are the bottlenecks in the system? Start with the areas that are the most critical to the health of your business. For example, your financial processes may be at risk if you don’t correct errors in your data processes.

Set Up Automated Tasks

Automated tasks can save you time, reduce errors, and help keep your business running smoothly. Some of the best automated tasks include invoicing, payments, billable schedule creation, timekeeping, patient reminders, and compliance tasks. If you have timekeeping in place, use it to track unprocessed time. This can be anything from a receptionist to a medical assistant taking too long answering a question. Set up automated timekeeping across the board. Use a cloud-based system that allows you to track time across departments, or find a standalone system that can integrate with your ERP. Automated tasks can also help with compliance and risk management. For example, set up an automated workflow through  healthcare payment services that can help send an invoice to your insurance company every month, as required. This can help with audits and monitoring compliance with your coverage agreements.

Keep an Eye on Billing Errors

It’s easy to lose track of billing errors and forget to send out reminders or follow up. But how often do you actually send an invoice? Make sure that you are sending out invoices regularly. You can also use a billing error tracking tool to keep track of billing errors across your operations. This can help you make sure that you’re following up on billing errors. If there’s a recurring billing error, follow up on it. If a billing error is one-time, you can follow up with the patient and correct the mistake. If it’s a recurring error, set up a workflow so that an administrator sorts the billing errors so that you don’t lose track of them.

Wrapping Up

Healthcare billing is one of the most challenging functions of an organization to optimize. However, it can be accomplished through careful planning, careful implementation, and careful monitoring of results. You need to clearly define your objectives while being realistic about patient expectations. You need to streamline your data processes while setting up automated tasks. And you need to keep an eye on billing errors while also keeping track of results. If you follow the tips in this article, you’ll be well on your way to an efficient billing operation that is optimized for profit and patient satisfaction.