Medical Billing Made Simple

In a recent conversation with practice managers, something interesting came up in our discussions that made us realise perhaps people were not clear on what the PAS systems were selling them.

This month, one of our newer doctors—a real stickler for accuracy—asked us to send them last quarter's debt report. I almost did a double take. In three years of running FreshClaim, this was the first time we'd had that request. Most doctors just follow along on the app and can see our returns in real-time, but being new, I suppose this particular client had not thought about how to navigate our in-app progress indicators yet.

Billing services charge anywhere between 2% to 7% of billing amounts. With such a broad price range, how do you make sense of what you're paying for? While the cost percentage is small compared to total claim payments, doubling your expenses (by choosing a more expensive service bs a cheaper one) can still mean thousands of dollars in excess costs each year…

Data entry is just the start of the billing process. If practices based their cost calculations on this initial part of billing alone, they may risk underestimating the true cost of their billing systems. It's also data validation, item number compatibility checks, health fund verification, and Medicare verification cycles—all before a claim successfully lodges…

Australian legislation prohibits the transmission of patient identifier information outside of Australia. That means health fund information and medicare numbers should stay in Australia, ideally…

When we benchmarked FreshClaim's performance, we spoke with dozens of practice managers across Australia, and a clear pattern emerged—inpatient billing is the hidden headache in every practice…

Here’s FreshClaim’s overall summary on how Surgical Assistant claims are calculated, what your billing options are, and the likely costs, disadvantages, and advantages of each. See the detailed posts below for more information if you would like…

Many factors influence how long it takes for claims to get paid - from the time you see a patient to having the funds deposited into your account but we developed our system to keep this as streamlined and smooth as possible…

The most time consuming aspect of billing are the activities linked to fixing failed or rejected claims. The natural rate of claim failure can range between 10-20% of submissions - depending on the complexity, time pressure and quality of the medical admin software being used to create and lodge claims…

Claiming in ECLIPSE is hard to make easy. Most software fails miserably at it…

There are advantages and disadvantages for each approach. Accepting a no-gap fee for example, delivers the fastest, and easiest claiming process, with lower friction to the patient, and delivers a smooth process that may better suit the principle surgeon’s preferences…

A quick explainer on how surgical assistant claims are calculated and billed. In a multistep process, surgical item numbers of a procedure, or group of procedures, are used to calculate the total MBS fee…