Management of Medical Billing System

Running head: MANAGEMENT OF MEDICAL BILLING SYSTEM
MANAGEMENT OF MEDICAL BILLING SYSTEM
Name of the Student
Name of the University
Author’s Note:

1MANAGEMENT OF MEDICAL BILLING SYSTEM
In this essay, detailed and descriptive analysis will be provided for an established billing and
accounting system for a health care organisation.
Description and name of health care practice: The name of the health care organisation
that is selected for this report is ‘Billing and accounting system in Hospital’. Hospital is a
health care organisation which provides specialised treatment to the patient through trained
and professional medical and nursing staff and medical equipment.
Payment options: Provision of different and various payment options to client is a very good
business strategy. The payment options are:
 Cash payments
 Cheques
 Bulk billing for Medicare
 HICAPS
 Bank Debit Card
 Third Party Cover like private health insurance
 Credit cards from MasterCard, VISA and American Express
Payment barriers and options for flexibility: Patient and clients sometimes face some
challenges or barriers at time of discharge or settlement. These barriers can be overcome if
the patients are provided with flexible choice of options (NSW Technical and Further
Education Commission, 2015). Following Table 1 describes the payment barriers and their
respective flexible options to overcome the barriers.
Table 1: Payment barriers and their respective flexible options to overcome the barriers
Barriers Flexible options or solution
Patient is not able to lump sum amount at a
time.
 Offering discount
 Easy instalment plan

2MANAGEMENT OF MEDICAL BILLING SYSTEM
 Offering Medicare for rebate.
Patient is ignorant about the mechanism of
billing and accounting system
 Offer assistance for the paperwork
 Detailed explanation of how it works
Medicare payment delay due incorrect
information
 Utilization of integrated or Medicare
Online
 Input of data in real time so that
error in information can be rectified
immediately and delay can be
avoided.
Name and provider details for billing and accounting system: The name of the provider
of the billing and accounting software system is Clintel – intelligent clinical software. They
have various product created for the health care organisation (Clintel, 2019). In this particular
scenario, the product is tailor made for being used in hospitals. The software name is
CareRightTM Hospital (Hospital Management Software, 2019).
Billing data collection method by the billing and accounting system:This system is an end
to end solution platform and can handle and manage all the parameters of Patient
Administration, System Management, Clinical Information, Billing and Finance, and
Utilities. In this software, billing can be retrieved by case, event, item, or any other variables.
This auto calculation engine can calculate parameters like Electronic Health Fund Claims.
Medicare Online is integrated with this system (Hospital Management Software, 2019).
Following Figure 1 shows the sample billing invoice and data which will be collected at time
of billing.