Sunday, September 18, 2011

Difference Between Medical Billing Software and EMR

Medical billing and EMR software systems are often designed to have overlapping features that improve the functionality and usability of the systems in order to make them a “one-stop-solution” for a practice’s medical IT needs. As a result, medical billing software and EMRs end up being interchangeably used discounting the primary objectives of each of the systems.

Medical Billing Software vs. EMR

Many EMR companies are going the whole way to provide doctors with a single, comprehensive solution that will help them achieve Meaningful Use by incorporating crucial features like clinical notes, patient information and history, medication/prescription/drug allergies, diagnosis/treatments/procedures, patient scheduling, appointment reminders, e-prescribing, electronically available results, scans and reports, patient education resources, clinical decision support as well as full-fledged medical billing programs.

Specialized medical billing software on the other hand, is particularly programmed to maintain and keep detailed records of tests, procedures, examinations, diagnoses and treatments conducted on patients. It combines this medical information with the patient’s policy details to formulate a complete medical record that is used to generate bills. 

The software electronically submits these bills to the patient as well as the health insurance company for payment. Before a bill can be submitted to the policy provider, it has to be coded based on Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-9/ICD-10) protocols. Medical billing software systems are programmed to automatically assign these codes based on the patient’s medical record. After reviewing the bill, the insurance company sends the appropriate payment (or notice of denial) notifying the patient and practitioner via an Explanation of Benefits (EOB) letter which is added to the patient’s medical billing record by the software. In case of a dispute, rectification of bills with errors or missing information and follow up on claims, the software will update the patient’s medical record and billing details with the revised information. 

Medical billing and coding software is thus equipped to seamlessly and accurately handle all complex processes and correspondence involved in medical billing.

A typical base package of medical billing software would contain features that are restricted to medical billing and accounting functions like patient recordkeeping, claims processing, electronic claims submission, receivables management, patient billing and accounting integration. However, many software providers extend their scope to include features like practice management, scheduling and other administrative and clinical functions that are generally a part of EMR software systems.

Therefore, the difference between medical billing software and an EMR is that of core functionality. While medical billing software focuses on a practice’s medical billing procedures and billing-related administrative and financial processes, features of an EMR are primarily concentrated on clinical functions, records and outcomes

Medical billing software may serve clinical EMR functions in addition to electronic billing and coding for greater versatility. The same is true for EMR systems that incorporate specialized medical billing and coding program features to supplement their clinical applications.

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32 comments:

EMR WORK FORCE said...

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KrishaLiva said...

I'm actually searching post regarding emr. Thanks for sharing those info.
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Nrip Nihalani said...

@KrishaLiva ... For EMR articles please check out

http://technology4doctors.blogspot.com/2011/02/emrs-providing-indian-doctors-with-edge.html

http://technology4doctors.blogspot.com/2011/03/improving-patient-care-through-emrs.html

and

http://technology4doctors.blogspot.com/2011/05/emrs-providing-indian-doctors-with-edge.html

Steffi said...

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laura sharon said...

As much as three quarters of hospital staff are usually burdened with some sort of billing-related work in a traditional billing system. Opting for electronic medical billing solutions (ones that come with free EMR plans) that fit easily into the healthcare business' workflow are key to freeing up staff resources.
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michellehenry said...

Thank you for this post! The office I work at just got medical billing software and I couldn't be happier. All of the features you stated will make patients much happier with our services!

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Mike Bishop7 said...

I was online looking at and comparing different EMR Vendors when I came across your blog. I'm happy I did because it was a very insightful read explaining the difference between medical billing and EMR software. You have really helped me understand and gain knowledge on both of these softwares. Thank you for sharing this article with us!

Kate Dunkin said...

Awesome post! this was really helpful because I was just wondering what the difference was between medical billing and emr software. Thank you for sharing this with us!

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Charles Chas said...

You have given a very good explanation about the billing software. I was also looking for such a information about the Prepaid Wireless POS

prakash Saini said...

It is really an Excellent Post, It tells us difference between Medical billing software and EMR. Billing software is a best software which perform many functions such as Billing, Accounting, and also keep a Invoice copy etc. To get more information about Billing software visit us.

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Hebecca said...

I like the valuable information you provide in your articles. I will bookmark your blog and check again here frequently. I am quite certain I will learn lots of new stuff right here! Good luck for the next!

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Provash Joddarbd said...

It is really an Excellent Post, It tells us difference between Medical billing software and EMR. Billing software is a best software which perform many functions such as Billing
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Jaxon Pryke said...

This was very informative for me. Please continue this awesome work. Thank you.

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Ebio Metronics said...

Great information about Medical Billing Services and EMR Software. So many people have a confusion related to the field of billing and coding. This is a kind of article that can help those people.
Keep sharing!

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The health care industry is growing extremely rapidly, each year that passes there is more of a demand for

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Arthi S said...

So nice to read.Its very useful for me to get more valuable info about Medical Billing Coding Service.Thanks for it.Keep going.

victor abrahan said...

Most of the healthcare institutes are procuring the software packages for their coding and billing process from medical
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Aalina Christ said...

Ornate technology provides an opportunity to Medical billing software to enhance their patient care but also can increase the portability of the organization.

victor abrahan said...

The differentiate is good. SomeMedical Billing Companies in usa provides good services.

Mani Kandan said...

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Fiona Gibson said...

Actually, i am doing small services which is related to therapy billing software and soap notes and i'm also research on health related issues because i have interest on such kind of work here also i viewed some new things.

John mickle said...

It’s always excellent studying such material; this post is excellent in regards of both details as well as details.
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lucas leiva said...

Most of the medical companies are using electronic health record to maintain their medical billing process. but medical billing software are still having some benefits when compare to Eletronic health records such as patients history, procedures and their treatment information can be easily maintain by the offshore medical billing companies who are using medical billing software

Auber Miklos said...

I’m not sure where you are getting your details, but excellent topic. I need to get a while learning more or understanding more. Thanks for excellent information.
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Auber Miklos said...

Three quarters of hospital staff are usually burdened with some sort of billing-related work in a traditional billing system. Opting for electronic medical billing solutions (ones that come with free EMR plans) that fit easily into the healthcare business' workflow are key to freeing up staff resources.
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Sun Rahman said...

I read this blog, I think it is very helpful for "medical billing", Medical Claim, Solutions offers a variety of services to meet the needs of any "Medical Coding service". In our efforts to service the broad range of physician specialties, our services are extended to medical providers of all specialties, emergency room physicians, hospitals, clinics, and dental providers.For more details: http://youtu.be/TKj6ewOreZ0 and http://www.dailymotion.com/video/x1o1ewy_medmedicalbilling_news .
Thanks

Abraham Mathew said...

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Carlos Miguel De Villa said...

Your arguments between EMR and Medical Billing System is very comprehensive! Thank you for sharing! I also know a great software which features a wisp billing system.

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