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Medical Billing Management Software

Doctors meet and talk with patients and caregivers to diagnose, manage, and treat illnesses and injuries. Of course, specific duties will vary depending on the area of medicine you intend to practice, but many of the core duties are required of all doctors. There is a specific type of doctor for almost every major system located in the human body. Regardless of specialty, doctors face the challenge of diagnosing and treating human disease, ailments, pain, and other conditions. This is done by listening to the patient, understanding the problem, and then using their scientific expertise to know how best to treat the ailment or concern.

There are typically 3 categories of doctors:

  1. Doctors that work in hospitals
    A large portion of doctors (approximately half) works primarily in hospitals, where they practice their specialized segment of medicine. There is a lot of different specialties that a doctor can qualify in which include: Anesthesiology, Cardiology, Dermatology, Endocrinology, Gastroenterology, Hematology, Oncology, Palliative medicine, Pathology, Radiology, Urology, Ear , nose and Throat specialist (ENT), Orthopedic Surgery etc.
  2. Others
    There are medical students who prefer to take a different path and pursue a career in academia. This involves doing research as well as teaching other students and medical professionals. Other students may use their medical degree to delve very deeply into research-based careers in a particular field that interests them, for example breast cancer, neurological disorders or environmental pathology.

Being a doctor, like any other career, has its pros and cons

Pros:

Cons:

Ultimately, a doctor strives to be a cohesive person that tries to help other people by being caring, knowledgeable, understanding, prepared, and ready to give his or her best.

A paramedic is a healthcare professional that works in emergency medical situations. Paramedics provide advanced levels of care for medical emergencies and trauma. Most paramedics are based in the field in ambulances, emergency response vehicles, or in specialist mobile units. Paramedics provide out-of-hospital treatment and some diagnosis services, although some may undertake hospital-based roles such as in the treatment of minor injuries. Emergency medical services encompass ambulance and paramedic services that provide urgent prehospital care for the treatment and stabilization of serious injuries and illnesses in an emergency

You get 3 types of paramedics:

  1. ALS (Advanced Life Support)
  2. ILS (Intermediate Life Support)
  3. BLS (Basic Life Support)

Advanced Life Support

ALS paramedics have specialized emergency medical services training in a set of life saving protocols and skills.

ALS paramedics use more sophisticated methods such as intravenous fluids and medications, in conjunction with advanced airway management and ventilation on patients with the aim of decreasing mortality and improving the health-related quality of life for the patient. When a patient is in cardiac arrest ALS can diagnose and perform the necessary defibrillation.

Intermediate and Basic Life Support

ILS & BLS are prehospital medical care used to ensure that a patient is stable enough to be transported to hospital for more appropriate medical care.

ILS paramedics can be used in the Management of patients ranging from premature birth to geriatric emergencies, where patients need high care/ICU or ventilatory and respiratory support and in cases where patients require cardiac monitoring etc.

BLS paramedics can be used for non-critical dislocations and bone fractures, where patients do not need cardiac monitoring, when psychiatric patients only need transportation and no intervention etc.

In the modern age, health care and hospital costs have become increasingly expensive. The high cost of healthcare means it is vital to have some type of medical cover set up to help when needed. The main two choices you have in this area are medical insurance and medical aid. Although people often confuse the two or think they are the same, they are totally different.

The key to understanding the two types of cover is knowing what each one involves.

This article is here to explain the differences as simple as possible.

What is medical insurance?

Medical insurance usually pays a set amount out for every day you spend in hospital or a maximum set amount for each incident. This is a fixed amount that does not pay attention to the type of medical treatment you may need. Medical insurance would pay out in the same way your car insurance would pay out if your car got stolen. With medical insurance you are covered for a certain amount and everything more than that you will need to pay for. Medical insurance has much more affordable premiums, meaning that anyone can benefit from it.

Medical insurance covers you for day-to-day medical expenses such as GP visits etc. In most cases though, this cover will be limited, and you may have to bear most of these costs personally. Medical insurance will cover some in hospital procedures up to a certain amount, but rarely provides cover if you need to be admitted in hospital due to illness, although some of the options does allow admissions for illnesses.

What is medical aid?

Medical aid offers something completely different altogether. Medical aid gives in-hospital protection and pays out for any treatment needed in conjunction with the specified medical tariff scheme. Any payments are normally made directly to the service provider and/or hospital involved. This is preferable for someone who does not want the hassle of sorting out payments themselves with providers.

Medical aids also cover daily medical costs like GP appointments or buying medication. Medical aid does offer more in this area though and can offer more comprehensive daily cover, depending on the type of cover you have. In some cases, certain providers may still require you to pay for daily expenses and then claim back from your medical aid.

The best way to make the choice between a medical aid and medical insurance is to think carefully about your medical needs. Those who are healthy and do not expect to pay for daily medical expenses will usually find medical insurance to be enough. If you are older or more prone to ongoing health issues which could prove expensive in daily life, medical aid will be a better bet.

Many people think they have better things to spend their money on than medical cover. The truth is, in today’s world healthcare costs are extremely high and just one day in a private hospital or one operation can deplete any emergency funds you may have had. While you might think that you are still fit and healthy, accidents do happen and can occur at the least opportune time.

The reality is that your health and that of your family, holds immeasurable value to you. It’s also the least predictable factor in your life. This unpredictability is precisely what makes medical cover so important because you can’t tell for certain when you’ll need it.

Sports injuries, road accidents, stress related illnesses, and terminal illnesses are not examples of things that afflict the elderly only. Rather, they’re representative of what can go wrong in anyone’s health at any time.

Having a good, reputable medical aid is an essential part of alleviating the stress of worrying what’s behind every proverbial corner. More importantly, it provides you with the necessary financial cover when you need it.

At the end of the day, you can’t know when or if something will happen, and unless you have considerable financial funds to help you pay for medical costs, you might have a problem if you don’t have medical aid.

In a nutshell:

The advantages of belonging to a medical aid:

There was a time when the billing function was largely done in-house and was a source of hassle for Healthcare Professionals. After all, it is hard to manage the logistics of billing when you have to deal with a busy practice and maintain the quality of patient care. With the rise of medical billing companies, healthcare practices now have the choice to outsource the task to the best medical billing companies. This makes the process much smoother and more efficient. It reduces the hassle of medical claim reimbursements along with delivering other advantages.

WHY OUTSOURCE TO CREDEBILL BILLING SOLUTIONS?

  1. WE ARE EXPERTS

Every job is better done by an expert in that field. Rather than trying to master both the business and service side of the practice, you as the Healthcare Provider should focus on delivering optimum care to your patients.

The experts at CREDEBILL BILLING SOLUTIONS are much more adept at knowing the process of medical aid/Medical Insurance companies. Hence, they are able to tailor coding and billing accordingly. This, in turn, guarantees that most claims made are paid out efficiently. This is an important aspect of the business side of healthcare services. After all, you need to be paid for your services.

The experts at CREDEBILL BILLING SOLUTIONS are also in a much better position to deliver timely receivables. You just can’t compete with their level of experience.

While a successful practice is one which offers the best care to its patients, generating more revenue is much more complex than merely ensuring satisfied patients. There are a lot of technicalities behind it.

You must be up to date with all recent changes to codes as well as the revenue paid for each. If you are too caught up on the service side of things and you forget to update the codes, you might be losing out on revenue since you are not aware of the increased value.

This is where a medical billing service comes in handy. While you are busy offering the best service and care to your patients, medical billing services are investing their entire focus on delivering the best service to you. One aspect of this is staying updated on all code and revenue changes. If the situation allows it, the company then goes ahead and chooses the code that yields more revenue.

By outsourcing CREDEBILL BILLING SOLUTIONS, you outsource the hassle associated with the daily running of your practice, leaving you more time to use in different productive ways. You can use this time productively and treat more patients in that time frame.

At CREDEBILL BILLING SOLUTIONS we recruit quality employees and conduct interviews which reduces your role from the operation side of things as you don’t have to spend valuable time interviewing for staff.

CONCLUSION

These are just some of the many benefits you can realize if you make use of the services delivered by CREDEBILL BILLING SOLUTIONS.

You might think that you can handle it all, but the truth is that even the best of us compromise on quality when trying to do multiple things at once.

As a healthcare professional, the last thing you would want to do is undermine the quality of care you provide to your customers.

Therefore, it is much better to use CREDEBILL BILLING SOLUTIONS instead. Not only will this be better for your patients, but it will also improve your financial standing as claims will be paid more swiftly than before

Watch as your healthcare practice becomes more efficient once you outsource the hectic task of the daily management of your practice to our experts at CREDEBILL BILLING SOLUTIONS.

So…. Think about the last time you went to a store or restaurant and received terrible service. You probably walked out of the place in a bad mood and vowed to never return. Well, that’s what I do, and then you also feel that you want to complain about it on social media, send their HO a nasty email, etc.

While I think it is normal to feel that way, it happens frequently in today’s world. A company’s reputation is constantly at risk of being taken down by it’s bad reputation, a reputation caused mostly by employees’ no care attitude and slow service.

It’s the same for those working in the medical profession, except you don’t run the risk of burning someone’s food….

YOU ARE DEALING WITH PEOPLE’S LIVES

Customer service plays a very important role in many aspects of a medical practice’s day to day operations from the moment the patient walks through the door, or making a call, until they leave the practice, and then some more.

The amount of effort you put towards the customer experience says a lot about the care you provide. Your patients want to feel good about upcoming appointments and you want them to feel that they have someone on their team when they walk into the practice, for the patients because they are scared and don’t know what to expect, and for you because you don’t know what that patient is going through at that stage.

When medical practices fail to meet these levels of service, they reinforce the popular misconception that doctors want patients in and out of the practice quickly and are just trying to make money out of them quickly.

As with any organization today, your practice’s reputation is then at risk, and it only takes a few bad reviews of your services posted online to start making some serious dents.

If your patient is happy with the service and attention they have received from the doctor and the frontline staff, the chances of them going back to the practice and even referring someone to the doctor is highly probable.

For someone like me who has been working in customer care, medical practices for 20+ years, the customer always comes first. You as a medical receptionist, practice manager, doctor etc. leave your personal problems at home and come to work with a smile and love for each patient that walks through your practice door. They are scared and unsure when they come and see you and if they are angry or rude, it’s not personal. You want them to know that you understand and are there to comfort them if they need anything, current, past, and future….

Being diagnosed with a disease or chronic illness can be stressful and traumatic but having a thorough understanding of what your medical aid covers can help you cope with the news.

Having a good understanding of what you’re covered for and making sure that you and your family are on the right medical aid for your needs is crucial.

Being upfront on pre-existing conditions is also vital, to avoid rejection of claims at a later stage. This could mean there is a waiting period before your cover takes effect, during which you will have to pay your own bills. Not being upfront about your pre-existing conditions could result in your medical scheme denying benefits or terminating your membership due to non-disclosure.

As you age, your health risks tend to increase, so your medical aid should be adjusted as you move through the stages of life. All medical aids should make provision for at least 27 chronic conditions but not all medical aid plans offer the same medication cover.

If you’re planning on undergoing a procedure operation, do you know if there are sub limits, co-payments, deductibles on your plan? Do you know the rate at which your plan will reimburse your providers?

Most medical schemes have options with GP and hospital networks and regularly change these network listings. If you are not aware of this, it means that you might have to pay a penalty.

With most medical aids these day’s you have your hospital cover and then a savings.

The hospital cover will pay for your hospitalization if it is needed, with certain limits and sub limits.

The savings account will cover all the out of hospital claims for example, doctors, dentists, blood tests, x-rays etc. If you have run out of savings all those claims will have to be paid out of your own pocket. So, it is very important to take all those possible expenses into consideration when you decide on a medical aid.

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