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6 Dos and Don’ts of Choosing a Medical Billing and Auditing Software

May 27, 2022 3 minute read

When selecting a software package for your organization, it’s critical that you follow a proven methodology to evaluate your options rather than relying on instinct or emotionally fueled preferences. Billing and auditing software has evolved; some platforms are exclusively for auditing, while others are designed for billing compliance, revenue cycle, and revenue integrity teams to audit charges while also providing insights into charge trends and anomaly detection, denial and remit analytics, audit insights, and more.

With your organization’s revenue at stake, choosing the right billing and auditing software is just as important as selecting an appropriate EMR solution. The right software selection will have broad and long-lasting implications across your organization, regardless of who uses the software directly. To guide you through this selection process, here are some key points to consider:

DO Tell them what you want to see

When sharing your requirements, make them as “real-world” as possible. Align the examples to mirror situations that are likely to be encountered to allow the vendors to show how their software can resolve the problems.

DON’T Just buy features

Remember to look at the “big picture” when making the final decision and consider the unintended consequences and impact of the final decision. A solution is more than a single feature, and many offer benefits your organization may not have even been aware of.

DO Look for key differentiators

Evaluate the vendors on more than just the software. Look for things that the vendor can do for the organization or other benefits that can be accrued. Dedicated support teams and customizable implementation training can make all the difference.

DON’T Be closed-minded

Consider every vendor fairly and without bias. Don’t allow your preconceived notions or the opinions of others to cloud your judgment when evaluating the software packages.

DO Look for tangible benefits

The vendors will show features that have a “wow factor.” But try to evaluate the merits of those features to determine if they bring a value-added proposition to the organization.

DON’T Fall for “Last Demo” syndrome

Evaluating software is a daunting task that takes time and effort. To get the most out of this critical step, keep your team focused on the questions that are relevant to your organization’s needs. Ask yourselves:

  • What problems do we need this software to solve?
  • What can’t we do that we want to be able to do?
  • Is our organization prepared for such a big change?
  • Given our resources, can we afford a new software solution?

The process of choosing the right medical audit software for your organization is an important one. From defining what the software will be used for, such as billing compliance and revenue integrity, to scheduling product demos and making your final decision to purchase, you’re going to want a trusted advisor by your side.

To help you through this process, check out our Medical Audit Software Buyer’s Guide. In it, you’ll learn the eight crucial steps you’ll want to take before you even start your software search. By following a proven approach to select the tech solution that’s the right one, your organization can minimize risk, increase efficiencies, and maximize revenue.

Click here to download the guide.

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