Tuesday, June 5, 2012

Medical Billing - Network Issues

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Medical billing packages are extremely complex pieces of software. The reason for this, besides the number of things that the package itself has to do, is because of the number of people who usually work within the package itself.

Medical billing agencies and companies are usually massive because they have to deal with a large number of providers and carriers. Because of this, most medical billing packages are created for networks so that more than one person can access the package at the same time. This is critical because all of the information stored by the package is time critical. To understand this, we'll present a brief example.

John Doe is being billed for an oxygen concentrator. The patient file is already on the system so the medical biller pulls up the records and goes through the proper channels for billing the patient. An hour later, the patient calls and speaks to another biller. Turns out that the patient has a change of insurance companies. The new biller has to be able to access the records to make the change, even though another biller sent in the claim to the que. The old claim has to be removed, because it is now going to a new insurance company and a new claim has to be submitted. This is just one of the many reasons why these software packages have to be stored on a network so that everyone in the company has access.

So what happens when there are network issues? For that matter, what are network issues? Network issues can be classified as anything that hinders the performance of the software itself. This can range from slowness to a virtual shutdown of the network itself. It is the job of the systems administrator to make sure that the network is running at peak performance at all times. This, however, is easier said than done.

One of the reasons you will experience slowness on the network is because of mass billing. There are certain times of the month, week, or even day, for each agency, where billing is at its peak, meaning everyone is doing this. If your network is not super powerful, this can really slow things down to a crawl, especially if you are billing thousands of patients. One way to counter this problem is to have your billers do their billing in shifts. This will ease the strain on the network.

Other network issues involve the software being disconnected from the network altogether. This will usually occur because of problems with the network itself. But on occasions, the software will disconnect because of problems with the software. This will usually happen when there is corruption in the database or printers and other peripherals aren't setup correctly. Most software packages will come with troubleshooting tips for uncovering disconnect problems.

A network is a complex animal. Add to that the complexities of a medical billing software package and you can be in for some interesting times. But by following step by step procedures, given by your systems administrator and also the tips that come with your software, you should be able to solve most common problems.


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