Medical Practice Management and Billing

 

Alston Quality Consulting (AQC) is a QuickBooks Consulting firm. However, we have chosen to focus on industry specific areas. One of those areas of focus is Medical Practice Management and Billing. We look to partner with leading software vendors to provide the best integration of QuickBooks and Medical Practice Management & Billing Software. The following bullet list represents the kind of functions we look for in a Medical Practice Management & Billing Solution: 

• Patient visits scheduling, appointments and follow-up

• General medical practice office workflow management

• Claims processing

• Reporting on procedure popularity, profitability, referring physicians, etc

• Managing patient data, demographic detail, insurance information, billing history, etc.

Patient information Related: 

• Maintain patient information, demographic information, insurance providers (multiple), prescription information, etc.

• Offer an ability to link medical documents, images and other treatment information to patient record
  Condition based notice alarm triggers that are patient, billing, schedule, and medication related.

• Track payments, co-payments or credits to patient’s account

• Provide a user friend method to view a patients entire base of information, history, claims and payments.

• Maintain detail records of ambulance services

• Ability to break out driver activities to support planning and scheduled activities

Billing and Accounts Receivable related  

• The system should bill claims directly to the insurance carriers

• Primary, Secondary and Tertiary claims should be submitted and tracked

• All claim information shoud be accessible both before and after claim is submitted

• System should edit for faulty claims

• It is key that the system is compliant with HIPAA requirements including EDI formats

• The system checks for insurance eligibility and authorization of the claim.

• Manage credit card, cash and other forms of payments

• Posting payment information in patient records

• Patient invoices and statements should be generated by the system for each individual patient (as required)

• Tracking unpaid claims by carrier, patient, doctor, etc.

• Feed appropriate information on accounts receivable to QuickBooks

Other Features 

• System should offer extensive scheduling capabilities including creating and editing appointments

• Provide various reports and the ability to customize each report to fit Offices specific requirements

• Other feature might include reporting on most prevalent procedures performed