How Eclinicalworks Billing Services Support A More Efficient Medical Billing Workflow

By Author: Bryan Marcus.
Total Articles: 24
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Technology has become an important part of modern medical billing. For practices using electronic health records (EHR) and practice management systems, the right software can help organize patient information, billing activities, claims, and revenue cycle processes. However, simply having a practice management system does not automatically ensure an efficient billing workflow. The system needs to be configured correctly and used effectively.

This is where eClinicalWorks Billing Services can support medical practices that use eClinicalWorks for their billing and revenue cycle management.

Understanding eClinicalWorks in Medical Billing:

eClinicalWorks, commonly referred to as ECW, can support several activities involved in the medical billing process. These activities can connect patient information and clinical workflows with billing and revenue cycle functions.

According to MGSI, eClinicalWorks can support patient registration, insurance eligibility verification, medical coding, charge and payment posting, claim submission and scrubbing, accounts receivable management, denial management, and ...
... daily patient eligibility reporting. 

Having these functions within a connected practice management environment can help practices organize different stages of the billing workflow.

Patient Registration and Eligibility Verification:

Accurate patient information is an important starting point for medical billing. Errors in demographics or insurance information can create problems later during claim submission and processing.

Patient registration helps establish the information needed for billing, while insurance eligibility verification provides information about a patient's coverage.

MGSI includes both patient registration and insurance eligibility verification among the billing functions supported through its eClinicalWorks workflow. 

A structured registration and verification process can therefore help practices establish accurate information before claims move further through the revenue cycle.

Medical Coding and Charge Posting:

Medical coding connects the services documented by healthcare providers with the codes used for billing. Accurate coding is an important part of preparing claims for submission.

Charge posting is another step in the process, ensuring that services provided are reflected in the billing system. Payment posting then updates patient and account balances after payments are received.

MGSI identifies medical coding, charges, and payment postings as components of its eClinicalWorks billing workflow. 

Claim Submission and Claim Scrubbing:

Claim submission is one of the most visible parts of medical billing, but claims need to be reviewed before they are transmitted to insurance companies.

Claim scrubbing can help identify potential issues that may affect processing. A properly organized workflow can allow billing teams to review claims before submission and address problems where appropriate.

MGSI lists claim submission and scrubbing among the medical billing functions supported through eClinicalWorks. 

This process can be particularly useful for practices that handle a large volume of claims across different payers.

Managing Accounts Receivable:

Not every claim is paid immediately after submission. Outstanding balances and unpaid claims require continued monitoring and follow-up.

Accounts receivable management helps practices track amounts that remain outstanding and determine which accounts require additional attention.

MGSI includes Accounts Receivable Management as part of the eClinicalWorks billing scope and describes its team as having experience supporting revenue cycle management through the platform. 

Denial Management:

Claim denials can interrupt the normal payment cycle and require additional administrative work. Identifying denial reasons and taking appropriate corrective action can help practices manage outstanding claims more systematically.

MGSI lists denial management as another function supported within its eClinicalWorks billing workflow. 

A billing team can review payer responses, identify recurring issues, and coordinate appropriate follow-up as part of the broader revenue cycle.

eClinicalWorks Setup and Transition:

Implementing or transitioning to a practice management system involves more than installing software. The system needs to reflect the practice's operational and billing requirements.

MGSI states that it can assist with eClinicalWorks setup and transition, as well as transitions to other practice management systems. It also describes support for customizing the practice management system according to daily claims processing requirements. 

This type of setup can help practices align their technology environment with their existing billing workflow.

Customizing the Practice Management System:

Medical practices do not all operate in exactly the same way. Specialty, payer mix, practice size, and internal processes can influence how billing workflows need to be organized.

MGSI states that its team can help define a practice setup and customize the practice management system to meet daily claims processing requirements. 

Customization can therefore be an important consideration when a practice wants to make better use of its existing software rather than treating the system as a one-size-fits-all solution.

Claims Tracking, Backups, and Data Recovery:

Medical billing also depends on maintaining access to important billing information. Claims need to be monitored throughout the revenue cycle, while appropriate backup and recovery processes can help protect operational data.

MGSI states that its eClinicalWorks support includes monitoring claims processing and tracking, along with backup and data recovery support. 

These functions can complement the day-to-day billing workflow by providing additional operational support.

Choosing eClinicalWorks Medical Billing Support:

Practices evaluating eClinicalWorks Medical Billing support can consider several areas:

Experience with eClinicalWorks billing workflows
Patient registration and eligibility verification
Medical coding and charge posting
Claim submission and scrubbing
Payment posting
Accounts receivable management
Denial management
Practice management system setup
PMS customization
Claims tracking and monitoring
Backup and data recovery support

The right approach depends on the practice's existing workflow, staffing, specialty, billing volume, and use of eClinicalWorks.

Conclusion:

eClinicalWorks Billing Services can support multiple stages of the medical revenue cycle, from patient registration and insurance eligibility verification to coding, claim submission, payment posting, A/R management, and denial management.

For practices using eClinicalWorks, effective software configuration and knowledgeable billing support can help connect technology with everyday revenue cycle processes. MGSI states that its team has experience working with eClinicalWorks and can assist with setup, transition, customization, claims monitoring, and broader revenue cycle management. 

A structured approach to eClinicalWorks Medical Billing can help practices make better use of their practice management system while maintaining organized billing and claims workflows.