CMS 5010 Delay

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On 11/17/11, CMS announced a 90 day delay in the enforcement of the ANSI 5010 claim standard on submitted claims on or after 1/1/12. The reason given was that with only 45 days left before the implementation of 5010 standards, it was determined that a majority of providers were still unable to comply with the new standards based on the current testing thresholds.
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10 Features to consider when choosing Medical Billing Software

The importance of choosing the best Medical Billing System for your Practice or Billing Service is one that has lasting implications and shouldn’t be taken lightly. That’s why we’ve compiled a list of critical features to help you select the best medical billing software for your situation.

  • 1. Processing Claims

    Being able to efficiently process claims is fundamental to the medical claim software. If claims aren’t being paid promptly the financial health of the practice is in jeopardy. Assuming all applications send claims electronically you want to think about features that make the billing process more efficient.

  • 2. Scrubbing Claims

    How easy is it to create and submit clean claims? Resubmissions put a clog in your revenue cycle; getting claims paid the first time should be your top priority. Higher quality billing systems have claim validation functionality to spot possible rejections before claims are submitted.

  • 3. Choice of Clearinghouse

    Can you choose the clearinghouse? Some cheap medical billing software will tie you to using their clearinghouse services – for a not so cheap price. Good electronic medical billing software will allow you to create claim files and upload them to the clearinghouse of your choice. Continue reading