Chiropractic Billing Services | XyberMed

Increase Revenue and Get Paid Faster with Chiropractic Billing Services and Software

The right chiropractic billing software can help reduce problems with your claims from the start.

What if a patient doesn't have the insurance coverage they claim to have? You need software that can automatically verify eligibility for new and returning patients.

The same is true of some plans' prior authorization requirements. A failure, in either case, means you may not receive payment for services rendered.

Your chiropractic billing software should also run regular accounts receivable reports. This allows you to identify any outstanding claims. With these reports, you will know exactly which claims have been paid and which require follow-up. Running your practice successfully means staying on top of all billing issues, as well as proactively addressing potentially difficult financial situations.

Good chiropractic billing software sends an immediate alert if a patient's insurance has reached the maximum number of visits. Once informed that their insurance will not cover the visit, the patient has the option to pay for services out of pocket at that time.

The software must also ensure that no claims submission deadlines are missed. While these filing deadlines are usually generous, with most payers giving you one year from the date of the claim, you should be aware of the dates. Once this date has passed, you will not receive payment.

Once you have deployed your chiropractic billing software seamlessly, you should see a substantial increase in paid claims. Well-integrated software also means that your staff is no longer engaged in activities that can be performed by your practice management software.

Chiropractic billing services Chiropractic billing is highly specialized. If mistakes are made with coding or documentation, the patient's insurance company may reject the claim or decide not to pay it in whole or in part.

Erroneous terminology can also result in a denial or delay in payment. This is especially prevalent in Medicare billing, as Medicare regulations regarding chiropractic are particularly strict. If your practice does not use state-of-the-art chiropractic billing services, your charges are likely not as high as they could be, and much of that money is lost unnecessarily.

You always have the option of using a chiropractic billing service instead of billing in-house, and for some chiropractors, it is the best option. However, there are advantages and disadvantages to outsourcing versus in-house chiropractic billing. For example, one of the advantages of outsourcing your chiropractic billing services is that a chiropractic billing company will always have the current ICD-10 codes in use. You don't have to hire an employee specifically to handle billing, and you don't have to worry about a delay in billing if that person is sick or on vacation.

In-house chiropractic billing services have many "pros" and, for most practitioners, they outweigh the cons. With in-house billing, charges are entered into the system immediately, which means you get paid faster. Your staff can verify insurance network participation information immediately. If there are delinquent accounts, it is a priority for your staff. Those delinquent accounts are dealt with in due course when you outsource your billing. Any other necessary information, such as insurance payments, is easily accessible. The cost of chiropractic billing software is less expensive over time than the monthly fees for an outsourced chiropractic billing service, so having your own system is more economical in the long run.

Some outsourced chiropractic billing services charge a percentage fee, making it difficult to budget for the service. You will pay more when you have more billing and less during slow periods, but there is little consistency. You should read the fine print of any contract carefully, because a company may apply several types of fees to your account. If you don't like the service, you may have to shell out a considerable amount just to cancel your membership.

When billing problems occur with an internal system, you don't have to make constant phone calls, e-mails or other communications to get to the bottom of the problem, as you do with external billing. Your staff members can look into it and report back to you. There's also the fact that many small business owners are not always able to get to the bottom of the problem.