Healthcare Software Services: Preventing Fraudulent Activities in the Health Care Industry

The healthcare industry consists of hospitals, clinics and other types of facilities that provide primary and secondary level of healthcare to their in and out patients. Today, this industry is considered one of the world’s largest industries. Like other industries, the healthcare industry also has its share of mismanagement and fraudulent activities. Hence, the investigative agencies have tightened the noose on fraudulent health care providers. To prevent this, the healthcare industry has advised clinics and hospitals to seek healthcare software services, which, besides preventing frauds, streamlines the work process and ensures easy management.

In the healthcare scenario, there are many areas where one can suspect fraudulent activities. These include billing and insurance authorization. To prevent such frauds, the healthcare industry advises healthcare service providers to take the help of software services and install their insurance authorization/ pre-certification and eligibility verification programs. Such software programs negate the possibility of any insurance authorization-related frauds. They have a secure web based service that allows providers to register online and submit their insurance requests. The insurance authorization and eligibility verification software also ensures there is no fraud is committed by the patients and that all of them have provided accurate insurance information.

Healthcare software services also provide billing collection systems that completely counteract any kind of frauds in the billing area. This ensures complete transparency and streamlines the billing procedure. The software’s real-time information and decision support helps in efficient decision making and improved management in the revenue collection process for healthcare service providers.

Healthcare software services provide the best software that can efficiently counteract any fraudulent activities by the member of the clinic or by the patient. Besides these programs, the services also provide a diverse range of software that can help clinics and hospitals manage their patient reports. Programs such as the transcription management software help providers dictate reports, which are then sent for transcription. The medical transcripts are then sent back to the providers and referring doctors. Professional healthcare service providers will also need scanning and batch management systems that can help them scan all patient documents and EOBs. Such programs ease the stress of managing patient records and helps streamline healthcare management.

About the Author:

Porteck Corporation ( http://www.porteck.com/ ) offers healthcare billing software to healthcare technology solutions and radiology network. We also offer health care solutions and healthcare billing software to provide the highest quality professional service and software for the Healthcare.

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