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Increase Your Profitability With Automated Insurance Billing

Sep 2, 2020 | Insurance Billing

For chiropractic clinics, managing billing efficiently is crucial for maintaining healthy cash flow. However, billing complexities, frequent claim denials, and coding errors often result in lost revenue. The good news is that investing in automated medical billing software can dramatically improve accuracy, reduce errors, and boost profitability.

This guide will explore why chiropractic practices lose revenue due to billing challenges and how implementing medical billing automation can turn things around.

Why Chiropractors are Losing Revenue Because of Billing

Chiropractors face unique challenges in medical billing, particularly because chiropractic adjustments require precise documentation and coding. Billing staff must carefully analyze and translate medical reports into accurate ICD-10-CM codes, which can be time-consuming and error-prone.

Common Billing Challenges Faced by Chiropractors:

  • Coding Errors: Improper use of ICD-10 or CPT codes often leads to claim denials.
  • Missed Charges: Clinics may forget to bill for supplements, therapies, or additional services provided.
  • Delayed Claim Submissions: Manual processes slow down claim submissions, resulting in late reimbursements.
  • Outdated Billing Codes: Failure to keep up with evolving regulations can lead to rejected claims.
  • Time-Consuming Processes: Manual billing requires significant staff resources, reducing overall efficiency.

 As a result, around 30% of patients may leave a chiropractic clinic without paying their bill, impacting revenue. Additionally, outsourcing chiropractic billing services can cost practices 8-10% of monthly collections — further cutting into profits.

To overcome these challenges, implementing automated claims processing software is key to improving efficiency and maximizing revenue.

Simple Practice Management Software

1. Enhanced Code Accuracy with Medical Coding Automation

Accurate medical coding is crucial for chiropractic practices to get reimbursed quickly and correctly. Even minor coding errors — such as incorrect modifiers, outdated codes, or missing details — can lead to claim denials, delayed payments, and lost revenue.

With zHealth’s automated medical coding software, chiropractors no longer need to rely solely on manual coding efforts. The system simplifies the process by automatically assigning the correct ICD-10 and CPT codes based on the provider’s notes and treatment details.

Key Benefits of Automated Coding:

  • Built-in Master List for Fast Code Searches: zHealth includes a comprehensive code library with ICD-10, CPT, and HCPCS codes. This ensures chiropractors can quickly find the most appropriate codes for their services.
  • Automated Code Suggestions: The software suggests appropriate codes based on the treatments documented in SOAP notes, reducing guesswork and minimizing human error.
  • Continuous Code Updates: With frequent ICD-10 and CPT code changes, manual updates can be a hassle. zHealth automatically integrates new codes to keep your practice compliant with the latest regulations.
  • Miscellaneous Charges Made Easy: Bill for supplements, durable medical equipment (DME), or additional therapies directly through the system without separate invoices.

How It Increases Revenue:

By ensuring claims are coded accurately the first time, your practice avoids common issues like rejected claims, underpayments, or delayed reimbursements. This not only boosts cash flow but also reduces the time your staff spends fixing errors.

Result: Improved code accuracy reduces claim denials and ensures faster payments, giving your practice a steady and reliable revenue stream.

2. Automated Claim Scrubbing for Error-Free Submissions

One of the biggest reasons for delayed or denied claims is simple human error — missing details, incorrect codes, or incomplete information. Manually reviewing each claim can be time-consuming, and even the most experienced billing staff can overlook errors.

zHealth’s automated claims processing system eliminates this risk with a powerful claim scrubbing feature that carefully reviews each submission before it’s sent to insurers.

How Claim Scrubbing Helps Your Practice:

  • Identifies Common Errors: The system automatically checks for missing details, incorrect modifiers, invalid codes, and incomplete patient information — all common causes of claim denials.
  • Automated Flagging for Quick Fixes: When errors are detected, zHealth flags the issue so your staff can correct it immediately — ensuring claims are clean before submission.
  • Compliance Checks: The claim scrubbing tool verifies that each submission follows insurance payer rules, reducing compliance risks.
  • Improved Documentation Support: If additional information is required, the system notifies staff, helping you meet payer requirements before claims are submitted.

 How It Increases Revenue:

By identifying and correcting claim errors in advance, your practice significantly reduces the risk of claim rejections. This proactive approach minimizes the back-and-forth with insurance companies, ensuring payments arrive faster and more reliably.

Result: Fewer rejected claims mean quicker payments and improved cash flow for your practice.

[Read More: Claim Submission: 5 Steps To Getting It Right The First Time]

3. Automated Claim Scrubbing for Error-Free Submissions

Filing insurance claims manually can be a frustrating and time-consuming process for chiropractic clinics. Manual claim submissions often involve paperwork delays, overlooked errors, and lengthy waiting periods for payer responses. These issues can slow down your cash flow and leave your staff buried in administrative tasks.

With zHealth’s automated billing system, chiropractic practices can simplify the claim submission process by submitting electronic claims directly to government and private payers. By eliminating manual steps, automated claim submission ensures faster processing and improved accuracy.

Key Features of Automated Claim Submission:

  • Electronic Claim Submissions for Faster Processing: Digital submissions are processed faster than paper claims, reducing the time spent waiting for insurance approvals. This acceleration means your practice receives payments sooner.
  • Real-Time Claim Tracking: Once a claim is submitted, zHealth’s system tracks its progress in real-time. This feature provides instant updates on claim status—whether it’s received, approved, or requires further action.
  • Automated Error Detection: The system flags incomplete information or potential coding mistakes before submission, ensuring claims are clean and reducing rejection risks.
  • Transparent Audit Trails for Accountability: Every action related to the claim is documented, ensuring clear accountability and compliance with payer requirements.

How This Helps Chiropractic Clinics:

  • Minimizes Revenue Loss: Automated submissions reduce the risk of misplaced or lost claims.
  • Reduces Administrative Work: Staff no longer have to follow up with payers manually to check claim status.
  • Improves Cash Flow: Faster submissions mean quicker reimbursements, helping your practice maintain financial stability.

 Result: By submitting accurate claims electronically with zHealth, your practice can speed up reimbursements, minimize revenue delays, and reduce the burden of manual follow-ups.

4. Automated Claim Scrubbing for Error-Free Submissions

Managing insurance payments can be one of the most challenging aspects of chiropractic billing. Manual posting of insurance payments, explanations of benefits (EOBs), and patient transactions often leads to errors, delays, and wasted time.

zHealth’s medical billing automation system simplifies this process by automatically posting payments from multiple sources, ensuring fast, accurate, and organized financial records.

 Key Features of Payment Automation:

Electronic Remittance Advice (ERA) Posting: zHealth automatically posts ERA payments directly into your system. This eliminates manual data entry, reducing errors and ensuring accurate records for each claim.

Explanation of Benefits (EOB) Management: When EOB documents arrive, zHealth’s automated system reconciles them with patient accounts. This ensures each payment matches the billed services, preventing discrepancies and missed payments.

Patient Payment Tracking: In addition to insurance payments, zHealth also tracks and posts patient payments in real-time. Whether patients pay online, via mobile app, or in person, the system updates their accounts instantly.

How This Helps Chiropractic Clinics:

  • Saves Time: Automated payment posting eliminates hours of manual data entry, giving your billing staff more time to focus on other important tasks.
  • Ensures Accuracy: Automation significantly reduces human errors in payment posting, ensuring all financial records are up to date.
  • Faster Revenue Management: Immediate posting of ERAs and EOBs accelerates revenue cycles, improving cash flow.

Result: By automating payment posting, your practice can efficiently manage insurance reimbursements and patient transactions while minimizing administrative workload. This ensures your billing process is faster, more accurate, and less prone to errors.

5. Improved Patient Billing and Documentation

A smooth and transparent billing process is essential for maintaining positive patient relationships and ensuring your chiropractic clinic gets paid on time. Confusing invoices, missing details, or unclear charges can frustrate patients, leading to payment delays or disputes.

zHealth’s automated billing software streamlines this process by allowing chiropractors to generate professional, well-structured invoices and detailed billing statements in seconds. By improving billing accuracy and communication, you can reduce errors, boost collections, and build stronger trust with your patients.

Key Features of Improved Billing and Documentation with zHealth:

  • Instant Invoice Generation: With zHealth, you can create invoices for individual visits or multiple appointments in just a few clicks. Whether a patient requests a receipt after a single visit or a monthly statement summarizing their treatments, zHealth makes it easy to provide accurate billing information on demand.
  • Automated Patient Statements: zHealth automates the delivery of billing statements directly to patients via email or SMS, reducing the need for manual follow-ups. Automated statements provide patients with timely reminders about outstanding balances, helping you improve cash flow.
  • Detailed, Itemized Billing for Transparency: Each invoice includes a clear breakdown of charges, such as treatment costs, supplements, or therapy add-ons. Providing itemized billing helps patients understand exactly what they’re paying for, reducing confusion and disputes.
  • Flexible Payment Options: zHealth’s automated billing system can integrate with patient payment apps and online portals, making it convenient for patients to pay their bills from anywhere.

6. Save Time with Automated Follow-Up for Unpaid Claims

Unpaid claims are a common pain point for chiropractic clinics, often resulting in lost revenue and administrative headaches. Manually tracking overdue claims requires extensive effort, from identifying outstanding balances to repeatedly contacting payers for status updates. Without an organized system in place, these unpaid claims can pile up, delaying your cash flow.

zHealth’s automated medical billing software streamlines this process with built-in follow-up features designed to save time and improve collections. By automating claim follow-ups, your staff can focus on higher-value tasks while ensuring no overdue claims are overlooked.

How zHealths Automated Follow-Up Features Help:

  • Automated Reminders for Overdue Payments: zHealth automatically sends reminders to payers when claims remain unpaid for a set period. This ensures claims don’t fall through the cracks, reducing manual tracking efforts.
  • Real-Time Tracking Tools: The system monitors your outstanding claims in real time, giving you a clear view of which claims are still pending. With organized dashboards and filter options, your billing team can quickly identify claims that require attention.
  • Action Alerts for Staff: If a claim requires additional documentation or resubmission, zHealth’s alert system notifies your staff immediately. This proactive feature ensures critical tasks are addressed promptly to minimize delays.

How This Helps Chiropractic Clinics:

  • Saves Time: Automated reminders and tracking eliminate the need for manual follow-up processes.
  • Reduces Revenue Loss: By consistently identifying overdue claims, your clinic ensures fewer payments are forgotten or ignored.
  • Improves Collections: Faster identification and follow-up on unpaid claims leads to quicker reimbursements.

 Result: With zHealth’s automated follow-up features, your clinic can recover outstanding payments faster, improve cash flow, and reduce the time your staff spends chasing unpaid claims.

7. Increased Efficiency with Fast Onboarding

Switching to a new billing system can feel overwhelming, especially when your practice depends on smooth daily operations. Many chiropractic clinics delay upgrading their software out of concern that training, setup, and data migration will take too long or cause disruptions.

zHealth’s automated medical billing software is designed for fast and efficient onboarding, ensuring your clinic can implement the system with minimal downtime. In just 72 hours, your practice can have a fully functional billing solution that streamlines your financial processes.

Key Benefits of Fast Onboarding with zHealth:

  • Minimal Learning Curve: zHealth’s intuitive interface makes it easy for your staff to adapt quickly. The user-friendly design ensures your team can manage claims, payments, and patient data without extensive training.
  • Customizable Features: Every chiropractic clinic operates differently. zHealth offers customizable billing settings to match your practice’s specific workflow — from claim submission processes to patient payment preferences.
  • Dedicated Support for a Smooth Transition: zHealth’s onboarding specialists guide you through every step — including data migration, system setup, and staff training — ensuring a seamless switch to the new system.

How This Helps Chiropractic Clinics:

  • Reduces Downtime: With a fast implementation process, your clinic avoids extended periods of system unavailability.
  • Boosts Productivity: Staff can start using zHealth almost immediately, minimizing disruptions to patient care and administrative tasks.
  • Accelerates Revenue Growth: Fast onboarding means your clinic can start submitting claims, tracking payments, and improving collections without delay.

 The Bottom Line: Why Choose Automated Insurance Billing?

Investing in automated medical billing software is a strategic move for chiropractic clinics looking to boost profitability and reduce claim errors. With solutions like zHealth, your practice can:

✔️ Improve billing accuracy with automated coding.
✔️ Accelerate payments with automated claims processing.
✔️ Save staff time with automated EOB/ERA posting.
✔️ Deliver better patient experiences with clear, organized billing statements.
✔️ Focus on patient care instead of paperwork.

If you’re ready to increase revenue with automation, streamline your billing process, and improve cash flow, zHealth’s powerful automated medical coding software is the solution your practice needs.

Get started today and experience the benefits of fast, accurate, and stress-free billing with zHealth.

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Summary
Increase Your Profitability With Automated Insurance Billing
Article Name
Increase Your Profitability With Automated Insurance Billing
Description
Automated Insurance Billing increase the customer experience, organization, and profitability of a chiropractic practice. Hence a reliable and effective billing systems must be in place.
Author
zHealth