"EL medical billing solutions near me" can pull up many options, but which ones are best? Read here for a guide to finding quality EL medical billing solutions.

Medical billing is a $4.6 billion industry in the United States. But you do not have to understand its financial implications to understand its importance.

Medical billing has high stakes for practitioners and patients alike. Faulty billing could open clinics up to claims of fraud or keep patients from getting the services they need. For this reason, hospitals are always looking for ways to get an edge in this complex enterprise.

The good news is that companies like EL Medical Billing Solutions are here to help. Keep reading to learn more about their medical billing processes and software that can help your practice function better.

Medical Coding Basics

The healthcare world has its own vocabulary and structure around how things must be done. Providers use a system of codes to detail every service provided to a patient. These include office visits, medications, and medical procedures.

Front-end medical billing involves providers running a claim through a patient’s insurance. Then they inform the patient of what out-of-pocket costs they are responsible for.

Backend billing is more complex. It involves compiling lists of all services that were provided, even those that were not known or anticipated at the start of the visit. These are then put into a superbill and sent to the patient.

Backend billing is very meticulous and time-consuming. It entails ensuring that the codes and associated services are accurate and complete.

Navigating the Complexities of Medical Billing

Private and third-party payers, as well as government services like Medicare and Medicaid, all use different claim forms. That is due to distinct requirements for each service as well as different reimbursement structures.

If filing is done incorrectly, it will result in denied claims. Or worse: they could open providers up to fraud investigations and liability lawsuits. 

A medical billing system must stay current, as billing details are frequently updated. Staying on top of such changes can mean the difference in patients getting the healthcare service they need.

EL Medical Billing Solutions offers state-of-the-art medical billing software. They also use experienced and knowledgeable personnel. They can help you get up to speed quickly without sacrificing accuracy.

Electronic Medical Billing

Especially since the COVID pandemic, more payers have shifted to electronic claims filing, and for good reasons. For one, it has helped streamline and speed up medical billing procedures.

This comes with its own set of challenges, though. For instance, due to HIPAA regulations, Medicare requires that you submit Part A and B claims using specific transmission formats.

EL Medical Billing Solutions understands and has intimate knowledge of all filing requirements. They can help you leverage the speed of electronic filing without worrying about accuracy.

Even if time is not an issue for your staff, EL Medical Billing Solutions can act as a clearinghouse for claims. They will ensure that electronic information is accurate and complete, and can catch errors that would otherwise go overlooked.

Customer Service

Finally, EL Medical Billing Solutions can engage with patients about billing so that you do not have to.