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The Role of Technology in Streamlining Hospital Billing Processes

August 8, 2023

The fast pace of the healthcare industry demands that hospitals stay in tune with the delivery of care and the technology it uses to capture the necessary information for accurate and timely billing, coding, and payment submission. Hospital medical billing can also be a source of errors, fraud, and inefficiencies that affect providers and patients. Understanding the complex nature of hospital billing requires a firm grasp of how technology can help to streamline processes and improve the quality and accuracy of healthcare delivery.

Benefits of Technology in Hospital Billing 

Technology has transformed many aspects of healthcare, including the billing and coding process for large hospital systems and small rural centers alike. It provides the efficiency and accuracy they need to navigate the complex hospital billing process, which can benefit both healthcare providers and patients while increasing revenue for hospitals. Here are some of the benefits of technology in hospital billing processes:

  • Refined coding for improved efficiency and reduced errors in claim submissions
  • Automated billing processes to enhance speed and streamline operations
  • Robust collections strategies to maximize revenue while prioritizing positive patient experiences
  • Reduced staff stress and increased time allocation for superior patient care
coronis health medical billers pointing to graph on laptop

Other benefits of Coronis Health’s technology-focused approach include that it:

  • Delivers data-driven insights for future planning
  • Provides a platform for recording and storing patient medical history, diagnosis, and treatment
  • Reduces errors and duplication of data
  • Quickly verifies insurance eligibility and status of patients, which can prevent claim denials and delays
  • Automates coding and billing, saving time and resources
  • Ensures compliance with current regulations and standards
  • Tracks and monitors the revenue cycle, optimizing cash flow and financial performance
  • Provides transparent and timely billing information to enhance the patient experience
  • Reduces the administrative burden
  • Enables remote access to billing data
  • Improves communication and collaboration among hospital staff

Software specifically designed for hospital billing and coding is a powerful tool that can improve efficiency and reduce overhead costs, but it also requires proper implementation, training, and maintenance. Hospital providers should choose the right technology solutions that suit their needs and goals and leverage them to deliver quality care and service to their patients.

coronis health RCM medical biller working at computer

Hospital billing and coding pull information from the documentation in a patient chart for the purpose of submitting claims to insurance payers for reimbursement. This process is complex, time-consuming, and often results in missed revenue due to submission errors. 

At Coronis Health, we use advanced hospital billing software to help streamline your hospital’s processes, reduce errors, and relieve your administrative burden. 

Software Agnostic EHR Integration

Coronis Health takes a software-agnostic approach to technology integration that ensures your hospital doesn’t have to learn a new system. We integrate with your EHR system for a seamless transition that eliminates disruptions in your workflow. 

With our technology-driven approach, your hospital can experience improved productivity, reduced administrative burden, and increased revenue generation. Our advanced software not only streamlines the billing process but also provides valuable insights and analytics, empowering your hospital to make data-driven decisions for financial optimization.

Our technology-driven approach ensures all of your RCM processes are overseen by a single source that includes:

  • Charge Entry
  • Billing
  • Credit Balance Accounts
  • Early Out
  • Collections
  • A/R Follow-Up
  • Payment Posting
  • Pre-registration
  • Scheduling
  • Denial Management
  • Patient Collection/Self Pay
  • Bad Debt
coronis health hospital medical biller working with graphs on tablet

Challenges in Implementing Technology in Hospital Billing

Implementing technology in hospital medical billing is not without challenges. With the right approach and diligence, hospitals can overcome the significant challenges they may face when adopting hospital billing services.

  • User and information technology support: Training and onboarding is essential. Hospitals must train staff and provide IT support for new systems to prevent errors and low productivity. 
  • Compliance and data integrity: Hospitals must adhere to HIPAA, ICD-10, and CPT regulations and ensure accurate and secure data to avoid legal issues or loss of trust.
  • Ease of use and interoperability: Compatibility ensures efficient workflow and secure data exchange.

The Impact of Technology on Hospital Billing Procedures

Technology can greatly influence hospital billing. Billing and coding software streamlines workflows, reduces errors, improves patient service, and increases revenue. Technology can enhance medical billing and coding in the following ways:

  • Automation: Technology automates billing processes to save time, reduce manual work, and identify mistakes. This includes data collection, coding, billing, revenue tracking, and business monitoring.
  • Compliance: With the robust technology that Coronis Health offers, hospitals can implement automated compliance checks that validate billing codes against coding guidelines and regulations. This helps identify potential compliance issues, such as incorrect coding or unbundling, before claims are submitted, reducing the risk of non-compliance and associated penalties.
  • Artificial intelligence (AI): AI may improve medical billing accuracy, speed up processing, automate tasks, prevent claim denials, and optimize reimbursement.
  • Digital transformation: Technology can reduce paperwork and store data securely in the cloud. This can help healthcare staff to access information faster and provide better service to patients. Technology can also help to record financial transactions automatically and provide accurate financial information.

The Future of Technology in Hospital Billing

The future of technology in hospital medical billing is promising and exciting. Technology can improve the quality, safety, and efficiency of healthcare, as well as reduce costs and errors. These trends and innovations are shaping the future of billing and coding for hospitals:

  • Robotic Process Automation (RPA): The future of hospital billing embraces the use of robotic process automation, which involves the deployment of software robots to automate repetitive and rule-based tasks. RPA can handle tasks such as data entry, claims processing, and eligibility verification with high accuracy and efficiency. By automating these routine processes, hospitals can free up staff time, reduce errors, and optimize operational workflows, ultimately leading to improved billing outcomes and cost savings.
  • Data sharing: Technology enables secure data sharing across providers and platforms to improve coordination, avoid redundancy, and enhance patient engagement and satisfaction.
  • Value-based payments: Technology supports the transition to value-based payment models, helps measure patient outcomes, and aligns incentives among stakeholders. 
  • Predictive analytics: AI and machine learning (ML) can analyze data to generate insights that improve decision-making and care delivery, identify patterns and trends, enhance performance, and personalize care.

Technology is transforming the field of hospital billing and creating new opportunities for professionals who have the skills and knowledge to adapt to the changing landscape. With the guidance of Coronis Health, you’ll have full support from our tech department and Chief Technology Officer to direct you on the path to success. Don’t let the complexities of hospital billing stunt the growth and prosperity of your organization. Contact Coronis Health today to find out how your hospital can benefit from using the technology it needs to step into the future of efficiency in the fast-paced healthcare industry. 

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