Medical Billing Software Buyer's Guide

Medical billing and medical practice management software systems are used by physician practices and third-party billing services to manage charge capture, Medicare claims submission and collections. A physician practice will use these systems in conjunction with a patient scheduling system or electronic medical records (EMR) system to manage their entire practice workflow. A billing service, on the other hand, will typically manage billing for numerous practices and leave scheduling and charting to the physician’s internal office staff. Billing programs can be deployed on-premise or over the web as an online medical billing software system.

Key components of a modern medical billing system include: eligibility and NPI verification to confirm insurance coverage, electronic claims submission to pass claims to a payer or through a clearinghouse, and claim tracking to follow up on claims status and electronic remittence advice.