3 Different Types of Billing Systems in the Healthcare Industry

A medical billing system is an integral part of any healthcare network. A healthcare network mainly comprises everything from health institutions, private practices, and medical billing systems.

A medical billing system is an integral part of any healthcare network. A healthcare network mainly comprises everything from health institutions, private practices, and medical billing systems. However, contrary to for-profit businesses, healthcare management is highly sensitive as the accuracy of patients’ data, and documents are directly related to patients’ health and care. To anticipate the challenging requirements within the complicated network, there are three types of medical billing systems: Closed, Open, and Isolated. So, to comply with all the sensitive requirements and treat all the patients simultaneously is highly tedious work. A comprehensive and easy-to-use medical billing software in Alberta simplifies the otherwise complex medical billing systems.

Closed Billing System

The primary characteristic of a closed billing system is that it does not allow transfers. In medical billing software in Alberta, this means the entire system focuses all of its attention on one single practice. One of the most significant examples of a closed billing system is the use of EMRs or electronic medical records. EMRs can be considered as the digital version of the traditional use of paper charts. Today, paper charts might still be used, but they are combined with other forms of records. EMRs do not allow for the input of other healthcare facilities, such as urgent cases or labs, as well as other healthcare professionals.

Open Billing System

As the name implies, an open system allows for collaboration across healthcare practices, professionals, and facilities. In other words, while a closed billing system does not allow for transfers, an open billing system does. An example of an open billing system is EHRs or electronic health records.

People, even professionals, can often use EMR and EHR interchangeably despite being vastly different. While EMRs do not allow for any collaborative work, EHRs are a highly collaborative style of record keeping. All patients’ healthcare details are made known among healthcare professionals across healthcare practices, etc. Some healthcare professionals argue against open billing systems as they can threaten the right of privacy every patient deserves.

An Alberta health medical billing system needs to allow this collaboration to happen smoothly, with lines of communication being made as effective as possible.

Isolated Billing System

An isolated billing system is aptly named for one that is entirely out of reach of healthcare facilities, physicians, and practices. An Alberta medical billing system uses PHRs or personal health records. In this system, the healthcare records are designed and managed by the patients. One of the biggest perks is that the patient's privacy is completely ensured.

These records do not take the place of EMRs or EHRs; they are there for the patient’s benefit. The patient can manage their health information. Software is created to help patients enter their information into systems correctly into the relevant records. However, these systems are not commonly used as they are not legally official healthcare records.

There is no right system to use as each system has its advantages, disadvantages, and purpose. One important aspect to consider before deciding is the type of records. Once a decision is made and a type of billing system is chosen, an efficient, robust, and secure billing software can be chosen.

To read more about the billing software that can effectively take care of all the tasks and procedures, contact us today!