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Medical Billing Software Improves Income Management

How Medical Billing Software Helps to Improve Income Management in South Africa

The healthcare and accounting laws of South Africa differ from that of the USA and many European countries. As such, it makes sense to invest in medical billing software specifically designed and maintained for service providers operating in South Africa. However, the confusion about the difference between medical billing and management software can cause a service provider to choose a package that is not suited for their particular needs in South Africa.

Healthcare providers have to focus on many aspects, including accuracy, whilst maintaining the confidentiality of records and ensuring compliance with payroll management regulations. They also have to address marketing, accounting, and tax issues. For many, outsourcing the various functions works well in easing their workload. For others, partial automation of routine tasks seems to work well. Outsourcing certainly has its benefits, but where healthcare service providers are not comfortable with having third parties handle their essential functions, they require programs that have been specifically designed to handle their needs in South Africa.

The main categories of such programs are that of practice management and billing. Regardless of the package selected, the programs are designed to streamline operations and to reduce the risk of human input and calculation errors. This is created for the South African healthcare environment and made to remove the need for repetitive input while also reducing clerical workload. It is, however, important to understand the scope difference between practice management and charging software to ensure the expected return on investment.

Medical practice programs are designed for streamlining functions, such as appointment scheduling, report creation, and patient information safekeeping. It can also include the processing of accounting and financial data. It is comprehensive and is an all-in-one software solution to reduce the number of administrative people needed in a practice. These administrative functions are important in any practice, but for the small practice, the key solution must be focussed on billing. To this end, the practice management software is well-suited for healthcare facilities where several service providers share one set of administration personnel.

Medical billing software, on the other hand, is essential regardless of the practice size. From dentists to general practitioners, physiotherapists, and specialists bill medical aids, which must make payments directly to the service providers in South Africa. Of course, such service providers often also bill private patients directly. Keeping track of accounts payable, bills still to be paid, and more can be a daunting task.

Each of the medical aids has its own set of rules when it comes to the billing and paying of claims from patients or service providers. Just keeping up to date with the rules and regulations of each of the medical aids in South Africa can be a full-time job. Well-designed programs help the service provider to do so effortlessly. The system has timely updates of such, and the service provider thus does not have to allocate time to keep up to date with changes in payment policies or regulations.

Billing codes are already available, reducing the risk of error associated with human input. In addition, it provides for the easy identification of payment patterns from different medical aids. Problem areas can be identified early on and addressed before financial losses occur because of non-adherence to billing requirements of particular medical aids. Even small mistakes can cause non-compliance with the rules of a particular aid. This can cause delays in claims processing and payments. In return, it can cause cash-flow problems for the practice.

The solutions available from us are designed specifically to ensure compliance with the rules of the medical aids in South Africa.

Patient billing can be handled using the same software and can be used for the automation of the collection function where patients fail to make their payments. Many medical practices lose thousands of rands every year due to overdue accounts from private patients, incorrect claims submissions, and failure to follow up on overdue accounts. With the solutions available from us, healthcare professionals in South Africa thus benefit from improved revenue management and control over payments.

Get in touch for more information about our practice management and billing solutions for South African-based service providers.

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