Medical Bill Automation

The rapid aging of the population, both in the United States and around the globe, will put increased stress on all aspects of the medical industry in the decades to come. The population of the United States, for example, was 13.1 percent aged 65 and older in 2010, but by the year 2050, that number will increase to 21.4 percent. And with the population living longer and needing more and more varied medical care, handling those records will become both more complex and more important.

Unfortunately, according to an American Medical Association study, the error rate for medical billing in 2013 was 7.1 percent, and that number remains worryingly high. The majority of these errors were caused by human error, resulting from upcoding, duplicate billing, and transposing of digits in ICD and CPT codes. The number of these codes has increased by five times since 2015, meaning billers and coders have roughly 68,000 ICD and 8,000 CPT codes to contend with. During the initial period of adjusting to the new codes, a 50 percent loss in productivity was reported, but that number decreased as the industry adjusted. Still, a solution is needed.

Automating the medical billing data capture process solves many of the problems associated with both the increasingly aging population and the increasing complexity of the medical bill industry. What’s more, the efficiency provided by a reliable medical bill processing solution can result in increased revenues, improved security, and greater HIPAA compliance and protection.

If your organization is seeking to automate your medical bill processing, be sure to choose a provider that combines decades of experience with a commitment to leading-edge, continually evolving technology. By combining your company’s eligibility and provider databases into their capture and validation processes, the provider will allow you to enjoy expedited bill processing, secure online access and the flexibility to design services to fit your specific needs.